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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 25:1351-1355, September 2004
© 2004 American Society of Neuroradiology

Case Report
BRAIN

Thrombosis of the Internal Cerebral Vein Associated with Transient Unilateral Thalamic Edema: A Case Report and Review of the Literature

Karin A. Herrmann^a, Bernd Sporer^b and Tarek A. Yousry^c

^a Institute of Clinical Radiology, Ludwig-Maximilians-University of Munich, Grosshadern, Germany
^b Department of Neurology, Ludwig-Maximilians-University of Munich, Grosshadern, Germany
^c Department of Neuroradiology, Ludwig-Maximilians-University of Munich, Grosshadern, Germany

Address correspondence to Professor T. A. Yousry, Institute of Neurology, Lysholm Department of Neuroradiology, Queen Square, London WC1N3BG United Kingdom

Summary: Thrombosis of the deep venous system presenting with bilateral thalamic infarction or edema is a common finding, but unilateral venous thrombosis presenting with unilateral thalamic edema is extremely rare. We report a case of a patient with this unusual condition presenting with nonspecific clinical signs and symptoms. CT and MR imaging revealed a unilateral thalamostriate lesion. The imaging sign that was most helpful in establishing the diagnosis, however, was the MR finding of a thrombus in a single internal cerebral vein.

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