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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 21:68-73 (1 2000)
© 2000 American Society of Neuroradiology

ARTICLE

Diffusion- and Perfusion-Weighted MR Imaging of Dural Sinus Thrombosis

James Manzione^,a, George C. Newman^a, Avishai Shapiro^a and Ramon Santo-Ocampo^a

^a From the Departments of Radiology (J.M., A.S., R.O.) and Neurology (G.C.N.), State University of New York at Stony Brook.

Summary: A patient with dural sinus thrombosis had progressively worsening symptoms and signs that resolved after intradural thrombolysis. Intradural sinus pressures were 54 mm Hg. Echo-planar MR imaging revealed complex abnormalities of diffusion and widespread delay in mean transit time that improved immediately after thrombolysis. This case suggests that diffusion- and perfusion-weighted imaging can provide valuable information noninvasively to help triage patients with dural sinus thrombosis between conservative and aggressive management.

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