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Skull Base Dural Sinus Thrombosis
C. Douglas Phillips, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Dural sinus thrombosis (DST)
            • Synonyms

              • Cerebral venous sinus thrombosis, sinovenous thrombosis
            • Definitions

              • In situ thrombosis of posterior fossa dural venous sinus due to variety of causes

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Angiographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • 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. Bonneville F: Imaging of cerebral venous thrombosis. Diagn Interv Imaging. 95(12):1145-50, 2014
                                            2. Delgado Almandoz JE et al: Prevalence of traumatic dural venous sinus thrombosis in high-risk acute blunt head trauma patients evaluated with multidetector CT venography. Radiology. 255(2):570-7, 2010
                                            3. Parmar H et al: Restricted diffusion in the superior ophthalmic vein and cavernous sinus in a case of cavernous sinus thrombosis. J Neuroophthalmol. 29(1):16-20, 2009
                                            4. Leach JL et al: Partially recanalized chronic dural sinus thrombosis: findings on MR imaging, time-of-flight MR venography, and contrast-enhanced MR venography. AJNR Am J Neuroradiol. 28(4):782-9, 2007
                                            5. Leach JL et al: Imaging of cerebral venous thrombosis: current techniques, spectrum of findings, and diagnostic pitfalls. Radiographics. 26 Suppl 1:S19-41; discussion S42-3, 2006
                                            6. Rodallec MH et al: Cerebral venous thrombosis and multidetector CT angiography: tips and tricks. Radiographics. 26 Suppl 1:S5-18; discussion S42-3, 2006
                                            7. Khandelwal S et al: Distinguishing dural sinus thrombosis from benign intracranial hypertension. Emerg Med J. 21(2):245-7, 2004
                                            8. Stolz E et al: Influence of recanalization on outcome in dural sinus thrombosis: a prospective study. Stroke. 35(2):544-7, 2004
                                            9. Canhão P et al: Thrombolytics for cerebral sinus thrombosis: a systematic review. Cerebrovasc Dis. 15(3):159-66, 2003
                                            10. Vazquez E et al: Imaging of complications of acute mastoiditis in children. Radiographics. 23(2):359-72, 2003
                                            11. Liang L et al: Evaluation of the intracranial dural sinuses with a 3D contrast-enhanced MP-RAGE sequence: prospective comparison with 2D-TOF MR venography and digital subtraction angiography. AJNR Am J Neuroradiol. 22(3):481-92, 2001
                                            12. Provenzale JM et al: Dural sinus thrombosis: findings on CT and MR imaging and diagnostic pitfalls. AJR Am J Roentgenol. 170(3):777-83, 1998
                                            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

                                                      TERMINOLOGY

                                                      • Abbreviations

                                                        • Dural sinus thrombosis (DST)
                                                      • Synonyms

                                                        • Cerebral venous sinus thrombosis, sinovenous thrombosis
                                                      • Definitions

                                                        • In situ thrombosis of posterior fossa dural venous sinus due to variety of causes

                                                      IMAGING

                                                      • General Features

                                                        • CT Findings

                                                          • MR Findings

                                                            • Angiographic Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • 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. Bonneville F: Imaging of cerebral venous thrombosis. Diagn Interv Imaging. 95(12):1145-50, 2014
                                                                                      2. Delgado Almandoz JE et al: Prevalence of traumatic dural venous sinus thrombosis in high-risk acute blunt head trauma patients evaluated with multidetector CT venography. Radiology. 255(2):570-7, 2010
                                                                                      3. Parmar H et al: Restricted diffusion in the superior ophthalmic vein and cavernous sinus in a case of cavernous sinus thrombosis. J Neuroophthalmol. 29(1):16-20, 2009
                                                                                      4. Leach JL et al: Partially recanalized chronic dural sinus thrombosis: findings on MR imaging, time-of-flight MR venography, and contrast-enhanced MR venography. AJNR Am J Neuroradiol. 28(4):782-9, 2007
                                                                                      5. Leach JL et al: Imaging of cerebral venous thrombosis: current techniques, spectrum of findings, and diagnostic pitfalls. Radiographics. 26 Suppl 1:S19-41; discussion S42-3, 2006
                                                                                      6. Rodallec MH et al: Cerebral venous thrombosis and multidetector CT angiography: tips and tricks. Radiographics. 26 Suppl 1:S5-18; discussion S42-3, 2006
                                                                                      7. Khandelwal S et al: Distinguishing dural sinus thrombosis from benign intracranial hypertension. Emerg Med J. 21(2):245-7, 2004
                                                                                      8. Stolz E et al: Influence of recanalization on outcome in dural sinus thrombosis: a prospective study. Stroke. 35(2):544-7, 2004
                                                                                      9. Canhão P et al: Thrombolytics for cerebral sinus thrombosis: a systematic review. Cerebrovasc Dis. 15(3):159-66, 2003
                                                                                      10. Vazquez E et al: Imaging of complications of acute mastoiditis in children. Radiographics. 23(2):359-72, 2003
                                                                                      11. Liang L et al: Evaluation of the intracranial dural sinuses with a 3D contrast-enhanced MP-RAGE sequence: prospective comparison with 2D-TOF MR venography and digital subtraction angiography. AJNR Am J Neuroradiol. 22(3):481-92, 2001
                                                                                      12. Provenzale JM et al: Dural sinus thrombosis: findings on CT and MR imaging and diagnostic pitfalls. AJR Am J Roentgenol. 170(3):777-83, 1998