Thrombosis in a congenitally bifurcated superior sagittal sinus.

Abstract:

:A 26-year-old woman had a peripartum venous thrombotic stroke involving the right parietal lobe. The initial thrombus was present only in the right channel of a congenitally bifurcated superior sagittal sinus. This diagnosis and subsequent thrombus extension were readily shown by magnetic resonance imaging in contrast to equivocal angiography. A subsequent, prospective review of 100 patients undergoing cranial magnetic resonance imaging showed the presence of similarly bifurcated superior sagittal sinuses in two. The patient stabilized after therapy with intravenous heparin, but switching her medication to oral warfarin sodium was followed by clinical deterioration and propagation of the thrombus, necessitating resumption of intravenous heparin. No coagulopathy was identified.

journal_name

Stroke

journal_title

Stroke

authors

Hosley MA,Fisher M,Lingley JF

doi

10.1161/01.str.22.3.396

subject

Has Abstract

pub_date

1991-03-01 00:00:00

pages

396-400

issue

3

eissn

0039-2499

issn

1524-4628

journal_volume

22

pub_type

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