Date : 00.00.00
Name of the Patient : Abc Xyza Dhlmn / F / 22 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : Intracranial MR Venogram.
CLINICAL PROFILE :
H/O delivery 1 month back.
C/O headaches, seizures (4-5 episodes) and nausea since 8 days.
The brain was screened with the help of 5 mm thick T1 Weighted sagittal images and T2 Weighted axial images.
MR Venogram was obtained using a 2D TOF technique.
There is a hyperintense area in the left temporo-parietal region on the T2 Weighted images. These are hypointense to grey matter on the T1 Weighted images. Few hyperintense areas are seen within this lesion on the T1 Weighted images and would represent subacute blood. There is effacement of the adjacent sulci.
The ventricular system and the basal cisternal spaces are unremarkable. There is no midline shift.
The left transverse and the sigmoid sinus do not show its normal flow signal on the MRV and this may suggest a thrombus.
The rest of the visualized dural and deep venous sinuses show normal flow characteristics.
The MRV features are suggestive of :
1. Altered signal in the left temporo-parietal region would represent a haemorrhagic infarct (most likely venous).
2. Thrombosis of the left transverse and the sigmoid sinus.