AJDRAJNR - American Journal of Neuroradiology

Published ahead of print on April 16, 2008
doi: 10.3174/ajnr.A1093

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Large Arachnoid Granulations Involving the Dorsal Superior Sagittal Sinus: Findings on MR Imaging and MR Venography

J.L. Leacha,b,c, K. Meyera, B.V. Jonesa,b and T.A. Tomsicka,c

a Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, Ohio
b Department of Radiology and Medical Imaging, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
c The Neuroscience Institute, Cincinnati, Ohio


Figure 1
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Fig 1. Sagittal images from cases 1, 2, 3, 4, 6, and 7 demonstrating the typical position of the dorsal SSS AG identified in this study (arrows). Case 3, Sagittal reconstruction of FSPGR postcontrast T1-weighted image (3T); case 6, sagittal reconstructed image from 2-mm axial FSE T2-WI (3T); all others, sagittal FSE T2-weighted images.


Figure 2
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Fig 2. Case 4, 1.5T, axial T1WI (A), FLAIR (B), T2WI (C), DWI (D), and postcontrast T1WI (E and F). Typical appearance on multiple pulse sequences. Note the large AG with associated defect in the dura (arrows, C) along the rightward margin of the SSS. Note intrinsic vessels, which appear to be displaced cortical veins or channels (arrows, E and F). There is focal calvarial remodeling.


Figure 3
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Fig 3. Case 3, 3T. Axial acquired TOF-MRV (A), CE-MRV (B), and segmented volume-rendered FSPGR sequence after contrast (C).Note multilumen SSS, intrinsic vessels (arrows, B and C), thin AG base along the SSS (arrowhead, C), and adjacent cortical vein (*C).