Sinus thrombosis in a patient with intracranial hypotension: a suggested hypothesis of venous stasis. a case report

Interv Neuroradiol. 2011 Jun;17(2):248-51. doi: 10.1177/159101991101700218. Epub 2011 Jun 20.

Abstract

We describe the case of a 26-year-old man with orthostatic headache. Cerebral angiography revealed thrombosis in the sagittal sinus. Spine MRI showed cerebrospinal fluid collection at the C1-2 level. We performed blood patch and the symptoms disappeared. We report a rare case of intracranial hypotension caused by CSF leak and describe our hypothesis that SIH can change the velocity of cerebral blood flow and cause thrombosis.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cerebral Angiography
  • Cerebral Veins / diagnostic imaging
  • Cerebral Veins / physiopathology*
  • Cerebrospinal Fluid Leak
  • Cerebrospinal Fluid Rhinorrhea / etiology*
  • Cerebrospinal Fluid Rhinorrhea / pathology
  • Cerebrospinal Fluid Rhinorrhea / physiopathology
  • Cerebrovascular Circulation / physiology*
  • Humans
  • Intracranial Hypotension / etiology*
  • Intracranial Hypotension / pathology
  • Intracranial Hypotension / physiopathology
  • Magnetic Resonance Imaging
  • Male
  • Sagittal Sinus Thrombosis / complications*
  • Sagittal Sinus Thrombosis / pathology
  • Sagittal Sinus Thrombosis / physiopathology
  • Superior Sagittal Sinus / pathology
  • Superior Sagittal Sinus / physiopathology*