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Cortical Venous Thrombosis
Anne G. Osborn, MD, FACR
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12
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

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

                • Superficial CVT
                  • 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. Ghoneim A et al: Imaging of cerebral venous thrombosis. Clin Radiol. 75(4):254-64, 2020
                                                  2. Kiyohara T et al: T2*-weighted MRI detected dilated cerebral veins in a patient with acute-phase cerebral venous sinus thrombosis-a case report. J Stroke Cerebrovasc Dis. 28(8):e116-8, 2019
                                                  3. Karsy M et al: Outcomes in adults with cerebral venous sinus thrombosis: a retrospective cohort study. J Clin Neurosci. 53:34-40, 2018
                                                  4. Arnoux A et al: Imaging characteristics of venous parenchymal abnormalities. Stroke. 48(12):3258-65, 2017
                                                  5. Liang J et al: Cortical vein thrombosis in adult patients of cerebral venous sinus thrombosis correlates with poor outcome and brain lesions: a retrospective study. BMC Neurol. 17(1):219, 2017
                                                  6. Sato T et al: Yield of combined MRI sequences in isolated cortical vein thrombosis diagnosis. J Neurol Sci. 381:328-30, 2017
                                                  7. Yang M et al: Vein of Trolard thrombosis. Neurol India. 65(2):425, 2017
                                                  8. Boukobza M et al: Radiological findings in cerebral venous thrombosis presenting as subarachnoid hemorrhage: a series of 22 cases. Neuroradiology. 58(1):11-6, 2016
                                                  9. Chen PY et al: Serial neuroimaging of a patient with minor stroke due to isolated cortical vein thrombosis and convexal subarachnoid hemorrhage. Acta Neurol Taiwan. 25(3):104-10, 2016
                                                  10. Kim J et al: Isolated cortical venous thrombosis as a mimic for cortical subarachnoid hemorrhage. World Neurosurg. 89:727.e5-7, 2016
                                                  11. Steven A et al: Venous thrombosis: causes and imaging appearance. Hematol Oncol Clin North Am. 30(4):867-85, 2016
                                                  12. Yu Y et al: Pathological confirmation of 4 cases with isolated cortical vein thrombosis previously misdiagnosed as brain tumor. Oncol Lett. 11(1):649-53, 2016
                                                  13. 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
                                                  14. Coutinho JM et al: Cerebral venous thrombosis in the absence of headache. Stroke. 46(1):245-7, 2015
                                                  15. Coutinho JM et al: Isolated cortical vein thrombosis: systematic review of case reports and case series. Stroke. 45(6):1836-8, 2014
                                                  16. Khosravi M et al: Cord sign: cortical venous thrombosis evolving to a ring enhancing lesion. Br J Neurosurg. 27(1):139-40, 2013
                                                  17. Shivaprasad S et al: Neurological picture. Vein of Labbe thrombosis by CT and MRI. J Neurol Neurosurg Psychiatry. 83(12):1168-9, 2012
                                                  18. Black DF et al: Cerebral venous sinus density on noncontrast CT correlates with hematocrit. AJNR Am J Neuroradiol. 32(7):1354-7, 2011
                                                  Related Anatomy
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                                                  Related Differential Diagnoses
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                                                  References
                                                  Tables

                                                  Tables

                                                  KEY FACTS

                                                  • Terminology

                                                    • Imaging

                                                      • Top Differential Diagnoses

                                                        • Pathology

                                                          • Clinical Issues

                                                            • Diagnostic Checklist

                                                              TERMINOLOGY

                                                              • Abbreviations

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

                                                                • Superficial CVT
                                                                  • 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. Ghoneim A et al: Imaging of cerebral venous thrombosis. Clin Radiol. 75(4):254-64, 2020
                                                                                                  2. Kiyohara T et al: T2*-weighted MRI detected dilated cerebral veins in a patient with acute-phase cerebral venous sinus thrombosis-a case report. J Stroke Cerebrovasc Dis. 28(8):e116-8, 2019
                                                                                                  3. Karsy M et al: Outcomes in adults with cerebral venous sinus thrombosis: a retrospective cohort study. J Clin Neurosci. 53:34-40, 2018
                                                                                                  4. Arnoux A et al: Imaging characteristics of venous parenchymal abnormalities. Stroke. 48(12):3258-65, 2017
                                                                                                  5. Liang J et al: Cortical vein thrombosis in adult patients of cerebral venous sinus thrombosis correlates with poor outcome and brain lesions: a retrospective study. BMC Neurol. 17(1):219, 2017
                                                                                                  6. Sato T et al: Yield of combined MRI sequences in isolated cortical vein thrombosis diagnosis. J Neurol Sci. 381:328-30, 2017
                                                                                                  7. Yang M et al: Vein of Trolard thrombosis. Neurol India. 65(2):425, 2017
                                                                                                  8. Boukobza M et al: Radiological findings in cerebral venous thrombosis presenting as subarachnoid hemorrhage: a series of 22 cases. Neuroradiology. 58(1):11-6, 2016
                                                                                                  9. Chen PY et al: Serial neuroimaging of a patient with minor stroke due to isolated cortical vein thrombosis and convexal subarachnoid hemorrhage. Acta Neurol Taiwan. 25(3):104-10, 2016
                                                                                                  10. Kim J et al: Isolated cortical venous thrombosis as a mimic for cortical subarachnoid hemorrhage. World Neurosurg. 89:727.e5-7, 2016
                                                                                                  11. Steven A et al: Venous thrombosis: causes and imaging appearance. Hematol Oncol Clin North Am. 30(4):867-85, 2016
                                                                                                  12. Yu Y et al: Pathological confirmation of 4 cases with isolated cortical vein thrombosis previously misdiagnosed as brain tumor. Oncol Lett. 11(1):649-53, 2016
                                                                                                  13. 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
                                                                                                  14. Coutinho JM et al: Cerebral venous thrombosis in the absence of headache. Stroke. 46(1):245-7, 2015
                                                                                                  15. Coutinho JM et al: Isolated cortical vein thrombosis: systematic review of case reports and case series. Stroke. 45(6):1836-8, 2014
                                                                                                  16. Khosravi M et al: Cord sign: cortical venous thrombosis evolving to a ring enhancing lesion. Br J Neurosurg. 27(1):139-40, 2013
                                                                                                  17. Shivaprasad S et al: Neurological picture. Vein of Labbe thrombosis by CT and MRI. J Neurol Neurosurg Psychiatry. 83(12):1168-9, 2012
                                                                                                  18. Black DF et al: Cerebral venous sinus density on noncontrast CT correlates with hematocrit. AJNR Am J Neuroradiol. 32(7):1354-7, 2011