Cerebral venous thrombosis and multidetector CT angiography: tips and tricks.

@article{Rodallec2006CerebralVT,
  title={Cerebral venous thrombosis and multidetector CT angiography: tips and tricks.},
  author={Mathieu Rodallec and Alexandre Krainik and Antoine Feydy and Annick H{\'e}lias and J. M. Colombani and M. C. Jull{\`e}s and V{\'e}ronique Marteau and Marc Zins},
  journal={Radiographics : a review publication of the Radiological Society of North America, Inc},
  year={2006},
  volume={26 Suppl 1},
  pages={
          S5-18; discussion S42-3
        }
}
  • M. Rodallec, A. Krainik, M. Zins
  • Published 1 October 2006
  • Medicine
  • Radiographics : a review publication of the Radiological Society of North America, Inc
Because of the great diversity of clinical features, its unforeseeable evolution, and a small proportion of cases that will worsen in the acute phase, cerebral venous thrombosis must be diagnosed as early as possible so that specific treatment can be started, typically transcatheter thrombolysis or systemic anticoagulation. Unenhanced computed tomography (CT) is usually the first imaging study performed on an emergency basis. Unenhanced CT allows detection of ischemic changes related to venous… 
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Highly Influential Citations
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178 Citations

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A pictorial comprehensive review of cerebral venous thrombosis is conducted, including also the technical aspects of different imaging modalities, diagnosis and acute complications, follow-up, late complications and potential imaging mimics.
Imaging of cerebral venous thrombosis.
[Review of the neuroradiological diagnosis of cerebral venous thrombosis].
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References

SHOWING 1-10 OF 47 REFERENCES
Reversible MR imaging abnormalities following cerebral venous thrombosis.
TLDR
A plausible hypothesis is that venous infarcts largely consist of a persistent edema and that the lesion volume is influenced by the development of collateral veins, however, further investigations are necessary to understand the underlying abnormal mechanisms.
Cerebral CT venography.
TLDR
CT venography is a rapid, useful method for diagnosis of dural sinus thrombosis and for preoperative mapping of venous structures in patients with neoplasm and yields detailed images of the intracranial venous circulation with consistently high quality.
Cerebral venous thrombosis: nothing, heparin, or local thrombolysis?
TLDR
The present “gold standard” for the diagnosis of CVT is no longer angiography but MRI, which visualizes the thrombosed sinus as an increased signal on both T1- and T2-weighted imaging.
Magnetic Resonance Imaging of Thrombosed Dural Sinuses
TLDR
A standardized examination protocol for routine use in suspected dural sinus thrombosis is developed and it is shown that with the combined use of spin-echo and gradient-echo sequences, it is possible to make the diagnosis of acute thROMbosis; in the second stage, multiplanar spin- echo sequences are sufficient.
Subcortical Hemorrhage: Marker for Radiographically Occult Cerebral Vein Thrombosis on CT
TLDR
Subcortical hemorrhage can be seen in association with acute CVT and can be the sole abnormality on head CT, warranting further investigation by MRI.
Cerebral venous thrombosis in adults: the role of imaging evaluation and management.
Cerebral venous sinuses: anatomical variants or thrombosis?
TLDR
A review of the embryology literature enabled us to demonstrate that a number of radiological findings, quite often considered pathognomonic of venous thrombosis (i.e. 'delta sign'), are in fact the result of anatomical variations.
Cerebral veins: comparative study of CT venography with intraarterial digital subtraction angiography.
TLDR
CT venography proved to be a reliable method to depict the cerebral venous structures and MPR images were superior to DSA images in showing the cavernous sinus, the inferior sagittal Sinus, and the basal vein of Rosenthal.
Subarachnoid hemorrhage as the initial presentation of dural sinus thrombosis.
TLDR
Four patients with SAH revealing aCVT are reported on, highlighting the fact SAH may reveal a CVT, which should be considered in the diagnostic workup of SAH, especially when the basal cisterns are not involved.
Cerebral venography: comparison of CT and MR projection venography.
TLDR
Cerebral CT venography is superior to MR venography in the identification of cerebral veins and dural sinuses and is at least equivalent in the diagnosis of duralSinus thrombosis, according to a systematic comparison of imaging techniques.
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