Volume 50, Issue 1, Pages (January 2014)

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Volume 50, Issue 1, Pages 108-111 (January 2014) Cystathionine Beta-Synthase Deficiency Heralded by Cerebral Sinus Venous Thrombosis and Stroke Ilene S. Ruhoy, MD PhD, J. Lawrence Merritt, MD, Catherine Amlie-Lefond, MD Pediatric Neurology Volume 50, Issue 1, Pages 108-111 (January 2014) DOI: 10.1016/j.pediatrneurol.2013.08.021 Copyright © 2014 Elsevier Inc. Terms and Conditions

Figure (A) T1 sagittal pre-gadolinium magnetic resonance imaging (MRI) from presentation showing high T1 signal in sagittal sinus, indicating presence of thrombus. (B) Gradient Echo Sequence (GRE) MRI at presentation demonstrating left posterolateral temporal lobe hemorrhagic venous infarction (arrow). (C) T1 sagittal postgadolinium MRI from presentation showing extensive sagittal sinus thrombosis (arrow). (D) T1 sagittal postgadolinium MRI 5 months after presentation demonstrating resolution of sagittal sinus thrombosis. (E) Diffusion-weighted imaging MRI at presentation with extensive bilateral subcortical white matter abnormalities. (F) Diffusion-weighted imaging MRI 5 months after presentation revealing improvement in subcortical white matter abnormalities. Pediatric Neurology 2014 50, 108-111DOI: (10.1016/j.pediatrneurol.2013.08.021) Copyright © 2014 Elsevier Inc. Terms and Conditions