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
Strokejournal_title
Strokeauthors
Hosley MA,Fisher M,Lingley JFdoi
10.1161/01.str.22.3.396subject
Has Abstractpub_date
1991-03-01 00:00:00pages
396-400issue
3eissn
0039-2499issn
1524-4628journal_volume
22pub_type
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