Advanced

AJNR - American Journal of Neuroradiology

This Article Figures Only Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Articles by Oppenheim, C. Articles by Méder, J.-F. Search for Related Content PubMed PubMed Citation Articles by Oppenheim, C. Articles by Méder, J.-F.

American Journal of Neuroradiology 26:614-617, March 2005
© 2005 American Society of Neuroradiology

Case Report
BRAIN

Subarachnoid Hemorrhage as the Initial Presentation of Dural Sinus Thrombosis

Catherine Oppenheim^a, Valérie Domigo^b, Jean-Yves Gauvrit^a,c, Catherine Lamy^b, Marie-Anne Mackowiak-Cordoliani^d, Jean-Pierre Pruvo^c and Jean-François Méder^a

^a Department of Neuroradiology Sainte-Anne Hospital, Paris V University
^b Department of Neurology Sainte-Anne Hospital, Paris V University
^c Department of Neuroradiology University Hospital of Lille, France
^d Department of Vascular Neurology, University Hospital of Lille, France

Address reprint requests to Dr Catherine Oppenheim, Département d’Imagerie Morphologique et Fonctionnelle, Centre Hospitalier Sainte-Anne, 1 rue Cabanis, 75674 Paris cedex 14, France

Summary: Cerebral venous thrombosis (CVT) can be difficult to diagnose because of its wide spectrum of clinical manifestations. Its diagnosis may be further complicated when patients initially present with acute subarachnoid hemorrhage (SAH). We report on four patients with SAH revealing a CVT and discuss the role of imaging for diagnostic and pretherapeutic workup. In three women and one man presenting with severe headaches, images initially suggested SAH with no associated parenchymal bleeding. In all patients, SAH involved the sulci of the convexity and spared the basal cisterns. Digital subtracted angiography showed occlusion of intracranial venous sinuses but did not reveal any other cause of SAH. All patients improved with anticoagulant therapy. Risk factors for CVT and SAH, namely, head trauma and oral contraception, were identified in two patients. These cases highlight the fact SAH may reveal a CVT, which should be considered in the diagnostic workup of SAH, especially when the basal cisterns are not involved.

This article has been cited by other articles:

				C. S. Poon, J.-K. Chang, A. Swarnkar, M. H. Johnson, and J. Wasenko Radiologic Diagnosis of Cerebral Venous Thrombosis: Pictorial Review Am. J. Roentgenol., December 1, 2007; 189(6_Supplement): S64 - S75. [Abstract] [Full Text] [PDF]

				C. S. Poon and F. S. Chew Radiologic Diagnosis of Cerebral Venous Thrombosis: Self-Assessment Module Am. J. Roentgenol., December 1, 2007; 189(6_Supplement): S76 - S78. [Abstract] [Full Text] [PDF]

				S. Pradhan, R. Yadav, H. Diwakar, and R. V. Phadke Subarachnoid Hemorrhage Following Chronic Dural Venous Sinus Thrombosis Angiology, September 1, 2007; 58(4): 498 - 501. [Abstract] [PDF]

				M. H. Rodallec, A. Krainik, A. Feydy, A. Helias, J.-M. Colombani, M.-C. Julles, V. Marteau, and M. Zins Cerebral Venous Thrombosis and Multidetector CT Angiography: Tips and Tricks RadioGraphics, October 1, 2006; 26(suppl_1): S5 - S18. [Abstract] [Full Text] [PDF]