Resident and Fellow Section

Slides:

Advertisements

Similar presentations

Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology A 74 year-old woman with cerebral edema after myelography.

Advertisements

63 year-old woman with subacute parkinsonism Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.

Cerebral venous thrombosis: causal factors, clinical manifestations and imaging findings S.Alj, M.Ouali Idrissi, N. Cherif El Idrissi El Ganouni, O.Essadki,

A 62-year-old man presented with mild left hemiparesis, headache and blurred vision of his right eye Teaching NeuroImages Neurology Resident and Fellow.

A 68 year old woman with a troublesome chin tremor Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology.

Neurology Resident and Fellow Section 40 year old woman with left arm pain, numbness, and weakness Teaching NeuroImages © 2013 American Academy of Neurology.

Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology 46 year-old women with acute headache, post seizure confusion.

A 43-year-old man with decreased consciousness Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.

Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology A 35-year-old woman with headache and diplopia.

Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology A 14 year old male with headache and neck stiffness.

Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology A 54 year old man with progressive apathy and cognitive.

A 38-year-old patient with partial seizures Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.

A 53-year-old man with abrupt hearing loss Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology.

Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology A dangerous case of orthostatic headache.

Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology An unusual cause of conus medullaris syndrome.

Teaching NeuroImages 50 year old woman underwent therapeutic hypothermia after a witnessed cardiac arrest Teaching NeuroImages Neurology Resident and Fellow.

Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology A 23 month old full term male with seizures.

68 year old man with aphasia and facial droop © 2014 American Academy of Neurology Teaching NeuroImages Neurology Resident and Fellow Section.

A 22 years old man with slow movements and mounding phenomenon © 2013 American Academy of Neurology Teaching NeuroImages Neurology Resident and Fellow.

Progressive fetal intracranial lesion Teaching NeuroImages Neurology Resident and Fellow Section © 2015 American Academy of Neurology.

A 26 year old woman with headache, diplopia, and pulsatile tinnitus Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy.

40 year old male with shooting type of pain in the lower leg Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology.

A 4 Year Old Boy With Proptosis of Left Eye Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.

TIME RESOLVED ANGIOGRAPHY : CAN IT BE USED AS A VENOUS TRIGGERING TECHNIQUE FOR MAGNETIC RESONNANCE VENOGRAPHY ? FEASABILITY, USEFULLNESS IN CEREBRAL VENOUS.

2 year old girl with mild ataxia and truncal dystonia Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.

Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology MRI-visible Virchow-Robin Perivascular Spaces in Cerebral.

Resident and Fellow Section

Patient with painful ophthalmoplegia after traffic accidents

Neurology Resident and Fellow Section

Neurology Resident and Fellow Section

A 71-YEAR-OLD FEMALE WITH MULTIPLE CRANIAL NERVE PALSIES

Teaching NeuroImages Neurology Resident and Fellow Section

Neurology Resident and Fellow Section

A 55 year-old with lung cancer and leg numbness

A woman in her mid-20s presents with headaches, nausea and amenorrhea

(A) Initial MR venography demonstrated partial thrombosis of the superior sagittal sinus, torcula, and proximal transverse sinuses (arrows). (B) Follow-up.

A 57-year-old woman with seizures and coma

A 9-year old girl with multi-compartmental intracranial hemorrhage

20-year-old male with progressive status epilepticus

Cerebral Venous Sinus (Sinovenous) Thrombosis in Children

Neurology Resident and Fellow Section

with headache and seizures

A 46 year old woman with visual loss after thrombectomy

68-year-old patient with memory impairment

Cerebral Venous Sinus Thrombosis Associated with Spontaneous Intermittent Cerebrospinal Fluid Rhinorrhea: A Case Report Med Princ Pract 2012;21:392–394.

Patient 4. Patient 4. Sinonasal carcinoma t(15;19). A, CT scan demonstrates a midline sinonasal tumor (arrow) with lytic bony destruction of the paranasal.

Teaching NeuroImages Neurology Resident and Fellow Section

Quiz Page May 2011 American Journal of Kidney Diseases

Figure 3 Example of venous narrowing

Infant with absence seizure- like episodes

A 74-year old woman with progressive amnesia

Image shows appearance of septum within dural sinus in a 68-year-old woman with normal results of an MR imaging examination. Image shows appearance of.

Management of Dural Venous Sinus Thrombosis in Pregnancy

Successful management of an extensive intracranial sinus thrombosis in a patient undergoing IVF: case report and review of literature Fawaz Edris, M.D.,

Fig year-old female with multiple venous sinus thrombi. A

20 year old man with multiple strokes territories

A 40-year-old man who presented with left-sided pulsatile tinnitus.

Figure 2 Cerebral and spinal MRI (A) Restricted diffusion of both optic nerves (arrows) on diffusion-weighted and apparent diffusion coefficient imaging.

Serial imaging of a girl with an extensive left orbitofrontal lymphatic malformation associated with a left posterior dural AV fistula, dural sinus enlargement,

Teaching NeuroImages Neurology Resident and Fellow Section

Coronal (A, B) and sagittal (D) sections of MIP reformations of a MDCTA performed on a 4-row-detector system in a 54-year old woman (patient 10) with an.

Figure Spinal cord imaging (A, B) Sagittal and axial T2-weighted cervical spine MRI demonstrating hyperintensities in the central gray matter of patient.

A 11-month-old girl with acute irritability and hypotonia

Sphenopetrosal sinus in a patient with a petroclival meningioma

Dural venous sinus stenosis at 2D-TOF MR venography in two patients with AROP. A, In one patient, lateral projection shows occlusion or high-grade stenosis.

Teaching NeuroImages Neurology Resident and Fellow Section

A 41-year-old man with apparent thrombosis of the entire right internal jugular vein (IJV). A 41-year-old man with apparent thrombosis of the entire right.

Comparison of 2D time-of-flight MR venograms and 3D contrast-enhanced MPRAGE images of a 37-year-old woman with postpartum dural sinus thrombosis.A, 2D.

A 48-year-old normotensive woman with intact coagulation and a history of oral contraceptive use who presented with worsening headaches followed by a generalized.

CT scan of a 27-year-old man with clinical suspicion of dural sinus thrombosis.Lateral (A), anteroposterior (B), caudocranial (C), and oblique sagittal.

Presentation transcript:

Resident and Fellow Section Imaging of occipital and falcine sinuses in an adult woman. Teaching NeuroImages Neurology Resident and Fellow Section © 2016 American Academy of Neurology Vollono et al.

Vignette A 42-years-old woman, affected by refractory headache since 4 weeks, referred to Emergency room. Neurological examination was negative. CT venography showed ecstasies of cortical veins, including the falcine and the occipital sinus. CT venography and MRI demonstrated occlusion of the sagittal, rectus and right sigmoidal sinus, of the right jugular vein. © 2016 American Academy of Neurology Vollono et al.

Imaging Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) in chronic sinus thrombosis. Occipital sinus is visible in T1-weighted, contrast enhanced MR angiography (A, arrow) and in CT-venography (B, arrow). Falcine sinus is visible in coronal T1-weighted, contrast enhanced MR angiography (C, arrow) and in CT-venography (D, arrow). © 2016 American Academy of Neurology Vollono et al.

Patency of falcine and occipital sinuses caused by chronic cerebral venous thrombosis The falcine sinus usually involutes after birth1,2. The occipital sinus pericranii is the smallest dural venous sinus3. In our patient, the simultaneous patency of these alternative venous drainages is consistent with a compensatory mechanism for chronic dural sinus thrombosis. References 1. Leach JL, Fortuna RB, Jones BV, Gaskill-Shipley MF. Imaging of cerebral venous thrombosis: current techniques, spectrum of findings, and diagnostic pitfalls. Radiographics : a review publication of the Radiological Society of North America, Inc 2006;26 Suppl 1:S19-41; discussion S42-13. 2. Lee I, Leach J, Tomsick T, Flaherty ML. Pearls & Oy-sters: Cerebral venous sinus thrombosis involving a persistent falcine sinus. Neurology 2015;85:e162-164. 3. Frassanito P, Massimi L, Tamburrini G, Caldarelli M, Pedicelli A, Di Rocco C. Occipital sinus pericranii superseding both jugular veins: description of two rare pediatric cases. Neurosurgery 2013;72:E1054-1058; dicussion 1058. © 2016 American Academy of Neurology Vollono et al.