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Cerebral Venous Sinus Thrombosis - Deep Internal Veins

A 24 year-old woman presented with headaches followed by lethargy and coma. On examination, her pupils were small but reactive. To a doll's head maneuver, she had no vertical upgaze.

Note the Absent Straight Sinus     Note the Attenuated Sup Sagittal Sinus     Note the Missing Transverse Sinus

Cerebral angiogram, venous phase. Note the complete absence of the straight sinus. In addition, there is attenuation of the distal superior sagittal sinus as well as the left transverse sinus.

Revised 05/05/06.
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