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CASE REPORT
Reversible changes in diffusion- and perfusion-based imaging in cerebral venous sinus thrombosis
  1. Ning Lin1,2,
  2. Andrew K Wong1,2,
  3. Lindsay J Lipinski1,2,
  4. Maxim Mokin1,2,
  5. Adnan H Siddiqui2,3,4
  1. 1Department of Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, USA
  2. 2Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York, USA
  3. 3Departments of Neurosurgery and Radiology, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York
  4. 4Toshiba Stroke and Vascular Research Center, University at Buffalo, State University of New York, USA
  1. Correspondence to Dr Adnan H Siddiqui, Departments of Neurosurgery and Radiology, Toshiba Stroke Research Center, University at Buffalo, State University of New York, Buffalo, NY 14203, USA; asiddiqui{at}ubns.com

Abstract

Diffusion- and perfusion-based imaging studies are regularly used in patients with ischemic stroke. Cerebral venous sinus thrombosis (CVST) is a rare cause of stroke and is primarily treated by systemic anticoagulation. Endovascular intervention can be considered in cases of failed medical therapy, yet the prognostic value of diffusion- and perfusion-based imaging for CVST has not been clearly established. We present a patient with CVST whose abnormal findings on MRI and CT perfusion images were largely reversed after endovascular treatment.

  • Stroke
  • Vein
  • CT perfusion
  • MRI

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