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Cortical Venous Thrombosis
Anne G. Osborn, MD, FACR; Bronwyn E. Hamilton, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Cortical/cerebral venous thrombosis (CVT)
              • Dural sinus thrombosis (DST)
            • Definitions

              • Superficial cerebral venous thrombosis
                • Usually with DST but isolated CVT without DST can occur

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Angiographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              • Reporting Tips

                                                Selected References

                                                1. Altinkaya N et al: Diagnostic value of T2*-weighted gradient-echo MRI for segmental evaluation in cerebral venous sinus thrombosis. Clin Imaging. 39(1):15-9, 2015
                                                2. Coutinho JM et al: Cerebral venous thrombosis in the absence of headache. Stroke. 46(1):245-7, 2015
                                                3. Singh R et al: Isolated cortical vein thrombosis: case series. J Neurosurg. 1-7, 2015
                                                4. Coutinho JM et al: Isolated cortical vein thrombosis: systematic review of case reports and case series. Stroke. 45(6):1836-8, 2014
                                                5. Khosravi M et al: Cord sign: cortical venous thrombosis evolving to a ring enhancing lesion. Br J Neurosurg. 27(1):139-40, 2013
                                                6. Shivaprasad S et al: Neurological picture. Vein of Labbe thrombosis by CT and MRI. J Neurol Neurosurg Psychiatry. 83(12):1168-9, 2012
                                                7. Verma R et al: Subarachnoid haemorrhage as the initial manifestation of cortical venous thrombosis. BMJ Case Rep. 2012, 2012
                                                8. Black DF et al: Cerebral venous sinus density on noncontrast CT correlates with hematocrit. AJNR Am J Neuroradiol. 32(7):1354-7, 2011
                                                9. Rathakrishnan R et al: The clinico-radiological spectrum of isolated cortical vein thrombosis. J Clin Neurosci. 18(10):1408-11, 2011
                                                10. Linn J et al: Noncontrast CT in deep cerebral venous thrombosis and sinus thrombosis: comparison of its diagnostic value for both entities. AJNR Am J Neuroradiol. 30(4):728-35, 2009
                                                11. Rodallec MH et al: Cerebral venous thrombosis and multidetector CT angiography: tips and tricks. Radiographics. 26 Suppl 1:S5-18; discussion S42-3, 2006
                                                Related Anatomy
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                                                Related Differential Diagnoses
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                                                References
                                                Tables

                                                Tables

                                                KEY FACTS

                                                • Terminology

                                                  • Imaging

                                                    • Top Differential Diagnoses

                                                      • Clinical Issues

                                                        • Diagnostic Checklist

                                                          TERMINOLOGY

                                                          • Abbreviations

                                                            • Cortical/cerebral venous thrombosis (CVT)
                                                            • Dural sinus thrombosis (DST)
                                                          • Definitions

                                                            • Superficial cerebral venous thrombosis
                                                              • Usually with DST but isolated CVT without DST can occur

                                                          IMAGING

                                                          • General Features

                                                            • CT Findings

                                                              • MR Findings

                                                                • Ultrasonographic Findings

                                                                  • Angiographic Findings

                                                                    • Imaging Recommendations

                                                                      DIFFERENTIAL DIAGNOSIS

                                                                        PATHOLOGY

                                                                        • General Features

                                                                          • Staging, Grading, & Classification

                                                                            • Gross Pathologic & Surgical Features

                                                                              • Microscopic Features

                                                                                CLINICAL ISSUES

                                                                                • Presentation

                                                                                  • Demographics

                                                                                    • Natural History & Prognosis

                                                                                      • Treatment

                                                                                        DIAGNOSTIC CHECKLIST

                                                                                        • Consider

                                                                                          • Image Interpretation Pearls

                                                                                            • Reporting Tips

                                                                                              Selected References

                                                                                              1. Altinkaya N et al: Diagnostic value of T2*-weighted gradient-echo MRI for segmental evaluation in cerebral venous sinus thrombosis. Clin Imaging. 39(1):15-9, 2015
                                                                                              2. Coutinho JM et al: Cerebral venous thrombosis in the absence of headache. Stroke. 46(1):245-7, 2015
                                                                                              3. Singh R et al: Isolated cortical vein thrombosis: case series. J Neurosurg. 1-7, 2015
                                                                                              4. Coutinho JM et al: Isolated cortical vein thrombosis: systematic review of case reports and case series. Stroke. 45(6):1836-8, 2014
                                                                                              5. Khosravi M et al: Cord sign: cortical venous thrombosis evolving to a ring enhancing lesion. Br J Neurosurg. 27(1):139-40, 2013
                                                                                              6. Shivaprasad S et al: Neurological picture. Vein of Labbe thrombosis by CT and MRI. J Neurol Neurosurg Psychiatry. 83(12):1168-9, 2012
                                                                                              7. Verma R et al: Subarachnoid haemorrhage as the initial manifestation of cortical venous thrombosis. BMJ Case Rep. 2012, 2012
                                                                                              8. Black DF et al: Cerebral venous sinus density on noncontrast CT correlates with hematocrit. AJNR Am J Neuroradiol. 32(7):1354-7, 2011
                                                                                              9. Rathakrishnan R et al: The clinico-radiological spectrum of isolated cortical vein thrombosis. J Clin Neurosci. 18(10):1408-11, 2011
                                                                                              10. Linn J et al: Noncontrast CT in deep cerebral venous thrombosis and sinus thrombosis: comparison of its diagnostic value for both entities. AJNR Am J Neuroradiol. 30(4):728-35, 2009
                                                                                              11. Rodallec MH et al: Cerebral venous thrombosis and multidetector CT angiography: tips and tricks. Radiographics. 26 Suppl 1:S5-18; discussion S42-3, 2006