Sagittal Sinus Thrombosis & Suppression Frontal Right: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Sagittal Sinus Thrombosis, Suppression Frontal Right,

Negated

None

Unsure

None

Possible Causes

Traumatic Brain Injury

Abstract In this study, we report on a patient who developed apathy resulting from injury to the prefrontocaudate tract following mild traumatic brain injury (TBI), which was observed on diffusion tensor tractography (DTT). A 46-year-old female patient was involved in a bus accident. Her history included[…] [ncbi.nlm.nih.gov]

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Brain Neoplasm

PURPOSE: To determine the accuracy of relative cerebral blood volume (rCBV) fraction for distinguishing high-grade recurrent neoplasm from treatment-related necrosis (TRN) in enhancing masses identified on surveillance magnetic resonance (MR) images following treatment for primary or secondary brain neoplasm.[…] [ncbi.nlm.nih.gov]

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Brain Abscess

Brain abscess is a focal pyogenic infection of the brain's parenchyma. The most frequent intracranial locations (in descending order of frequency) are: frontal-temporal, frontal-parietal, partial, cerebellar, and occipital lobes. The major predisposing factors are: an associated contiguous focus of infection, trauma,[…] [ncbi.nlm.nih.gov]

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Stroke

Superior sagittal sinus and cerebral cortical venous thrombosis caused by congenital protein C deficiency: case report. Neurol Med Chir. 2000 ; 40 : 645–649. [doi.org]

Inherited prothrombotic risk factors and cerebral venous thrombosis. QJM. 1998 ; 91 : 677–680. Crossref Medline Google Scholar 55 Kuwahara S, Abe T, Uga S, Mori K. [doi.org]

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Frontal Sinusitis

Endonasal frontal sinus drainage (A) Type I drainage (Simple drainage, right side). area, anterior ethmoidal artery; lp, lamina papyracea; mt, middle turbinate; ns, nasal [slideshare.net]

Sometimes thrombophlebitis can develop causing superior sagittal sinus thrombosis and cavernous sinus thrombosis. [sites.google.com]

[…] meningitis, epidural empyema and abscess, venous sinus thrombosis (cavernous and sagittal), and intraparenchymal BA. [sinusitisunderstood.blogspot.com]

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Encephalopathy

MRI can also exclude lesions that mimic viral encephalitis (eg, brain abscess, sagittal sinus thrombosis). [msdmanuals.com]

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Cerebral Thrombosis

cerebral sinovenous thrombosis, dural sinus thrombosis, sagittal sinus thrombosis, and sinus thrombosis. [medlink.com]

Keywords Sinus Thrombosis Superior Sagittal Sinus Magnetic Resonance Venography Cerebral Venous Sinus Thrombosis Predispose Risk Factor Introduction Cerebral venous sinus [casesjournal.biomedcentral.com]

[…] and superior sagittal sinus thrombosis. [jmedicalcasereports.biomedcentral.com]

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Dehydration

Complications may include irreversible shock, sagittal or other venous sinus thrombosis, intractable seizures, and renal failure. Bettari L, Fiuzat M, Shaw LK, et al. [emedicine.medscape.com]

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Epilepsy

Epilepsy was defined conceptually in 2005 as a disorder of the brain characterized by an enduring predisposition to generate epileptic seizures. This definition is usually practically applied as having two unprovoked seizures 24 h apart. The International League Against Epilepsy (ILAE) accepted recommendations of a[…] [ncbi.nlm.nih.gov]

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Osteomyelitis of the Frontal Bone

Abstract Osteomyelitis of the frontal bone is becoming an increasingly rare complication of frontal sinusitis. We present seven cases that represent the largest series published in the last 50 years. Three cases were associated with intracranial involvement. Osteomyelitis should enter the differential diagnosis when[…] [ncbi.nlm.nih.gov]

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Intracranial Sinus Thrombosis

Even in patients with no evidence of systemic thrombosis, but who have sagittal sinus thrombosis, the possibility of dislodging pulmonary emboli should be strongly considered [doi.org]

INTRACRANIAL/OR exp CAVERNOUS SINUS THROMBOSIS/OR exp INTRACRANIAL EMBOLISM AND THROMBOSIS/OR exp LATERAL SINUS THROMBOSIS/OR exp SAGITTAL SINUS THROMBOSIS/OR (cerebral AND [doi.org]

Abstract Pulmonary emboli as a fatal complication of superior sagittal sinus thrombosis was once well recognized in the literature but appears to have been forgotten. [doi.org]

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Sphenoid Sinusitis

A previously healthy 56-year-old woman presented with right-sided ophthalmic pain and diplopia following headache and fever. A neurological examination revealed 3rd and 6th right cranial nerve palsies. Brain magnetic resonance imaging (MRI) and 3D-computed tomography (CT) angiography (CTA) showed right-sided[…] [ncbi.nlm.nih.gov]

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Sagittal Sinus Thrombosis

Subsequent computed tomography and magnetic resonance venography confirmed a superior sagittal sinus thrombosis. [ncbi.nlm.nih.gov]

Despite surgical elevation of the fracture and repair of the superior sagittal sinus, the patient developed thrombosis of the anterior half of the superior sagittal sinus [ncbi.nlm.nih.gov]

The development of superior sagittal sinus thrombosis is multifactorial. [ncbi.nlm.nih.gov]

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Cerebral Venous Sinus Disorder

[…] and 23 (46%) patients had superficial system (superior sagittal sinus) thrombosis. [ruralneuropractice.com]

Superior sagittal sinus or the dominant transverse sinus thrombosis can affect the arachnoid granulation absorption of cerebrospinal fluid ; consequent cerebral swelling may [radiopaedia.org]

cerebral vein thrombosis, CVT, venous thrombosis of the brain, cavernous sinus thrombosis, cortical vein thrombosis, lateral sinus thrombosis, and superior sagittal sinus [medlink.com]

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Cerebral Vein Thrombosis

Cerebral vein thrombosis, also called superior sagittal sinus thrombosis, is a well recognized clinical and radiologic entity associated with a variety of medical disorders [ncbi.nlm.nih.gov]

[…] children, cerebral sinovenous thrombosis, dural sinus thrombosis, sagittal sinus thrombosis, and sinus thrombosis. [medlink.com]

Figure 2: (MRI Saggital)-MRI Angiogram in sagittal plane showing superior sagittal sinus thrombosis. [omicsonline.org]

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Lateral Sinus Thrombosis

sinus thrombosis following hip surgery. [jhu.pure.elsevier.com]

Among CVT patients, 3 patients died with superior sagittal sinus thrombosis and one with lateral sinus thrombosis. [freethesaurus.com]

Superior sagittal sinus or the dominant transverse sinus thrombosis can affect the arachnoid granulation absorption of cerebrospinal fluid ; consequent cerebral swelling may [radiopaedia.org]

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Aplasia Cutis Congenita

Complications of aplasia cutis rarely occur but may include: Arterial bleeding Secondary wound infection Sagittal sinus thrombosis. [dermnetnz.org]

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Acute Sinusitis

These are meningitis, epidural abscess, subdural abscess, intracerebral abscess, cavernous sinus thrombosis and superior sagittal sinus thrombosis. [scitechnol.com]

Superior sagittal sinus thrombosis Orbital Cavernous sinus thrombosis Inflammatory edema and erythema (preseptal cellulitis) Orbital abscess Orbital cellulitis Subperiosteal [aafp.org]

Intracranial complications consist of meningitis, epidural abscess, subdural abscess, intracerebral abscess, cavernous sinus thrombosis and superior sagittal sinus thrombosis [scitechnol.com]

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Tumor of Meninges

B) Contrast-enhanced fat-suppressed turbo-spin-echo T1-weighted axial image. [bmccancer.biomedcentral.com]

Superior sagittal or transverse sinus thrombosis is associated with local dural enhancement secondary to venous stasis and collateral circulation (fig. 33). [em-consulte.com]

MRI documenting the space occupying lesions at the level of the right petrous apex (white arrow) and left cavernous sinus (black arrow). [bmccancer.biomedcentral.com]

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Non-Syndromic Aplasia Cutis Congenita

thrombosis. [cags.org.ae]

Complications of aplasia cutis rarely occur but may include: Arterial bleeding Secondary wound infection Sagittal sinus thrombosis. [dermnetnz.org]

Extensive aplasia cutis congenita and the risk of sagittal sinus thrombosis. Arch Dermatol 2005;141:554-6. Kim CS, Tatum SA, Rodziewicz G. [adc.mef.hr]

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Basilar Artery Thrombosis with Occlusion of a Precerebral Artery

sinus thrombosis', 'thalamus haemorrhage', 'thromboembolic stroke', 'thrombotic stroke', 'transient ischaemic attack', 'transverse sinus thrombosis', 'vertebral artery occlusion [definedterm.com]

[…] haematoma', 'spinal vascular disorder', 'stroke in evolution', 'subarachnoid haemorrhage', 'subarachnoid haemorrhage neonatal', 'subdural haemorrhage neonatal', 'superior sagittal [definedterm.com]

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Recessive Aplasia Cutis Congenita of Limbs

Extensive aplasia cutis congenita and the risk of sagittal sinus thrombosis. Arch Dermatol 2005;141(5):554-6. Kim CS, Tatum SA, Rodziewicz G. [acta.tums.ac.ir]

sinus thrombosis. [rarediseases.info.nih.gov]

Extensive aplasia cutis congenita of the scalp may be associated with an increased risk of sagittal sinus thrombosis. [emedicine.medscape.com]

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Sinusitis

Intracranial complications included subdural empyema, frontal lobe abscesses, intrahemispheric abscesses, cavernous and superior sagittal sinus thrombosis, and osteomyelitis [ncbi.nlm.nih.gov]

Intracranial complications include epidural and subdural empyema, intraparenchymal brain abscess, meningitis, and cavernous or sagittal sinus thrombosis. [infectiousdiseaseadvisor.com]

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Colloid Cyst of the Third Ventricle

The authors report a case of cortical vein and sagittal sinus thrombosis after a transcallosal removal of a colloid cyst of the third ventricle. [ncbi.nlm.nih.gov]

Garrido E, Fahs GR (1990) Cerebral venous and sagittal sinus thrombosis after transcallosal removal of a colloid cyst of the third ventricle. Case report. [link.springer.com]

At the autopsy, a venous hemorrhagic infarct in the right frontoparietal area and fresh thrombus occluding the sagittal sinus and cortical veins were found. [ncbi.nlm.nih.gov]

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Tonsillitis

The neurological complications encountered in young previously healthy adults were: facial palsy and hemiplegia; superior sagittal sinus thrombosis with communicating hydrocephalus [ncbi.nlm.nih.gov]

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Thrombosis

[…] view) showing normal flow in both the superior sagittal sinus and straight sinus Figure 2 MRV (sagittal view) demonstrating extensive thrombosis of the superior sagittal [pmj.bmj.com]

Superior sagittal sinus thrombosis. [stroke.ahajournals.org]

Superior sagittal sinus thrombosis and pulmonary embolism: syndrome rediscovered. Acta Neurol Scand. 1992 ; 86 : 390–396. [stroke.ahajournals.org]

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Dural Sinus Malformation

Bilateral infarction in superior sagittal sinus thrombosis Venous infarction (2) - Superior sagittal sinus thrombosis The most frequently thrombosed venous structure is the [radiologyassistant.nl]

[…] and other dural sinuses in patients with sagittal sinus thrombosis. [neuroangio.org]

Figure 2 Axial (A) and sagittal (B) contrast enhanced CT angiography showing the extension of thrombosis (white asterisks) and the mass effect in the posterior sagittal sinus [scielo.br]

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Iron Deficiency Anemia

An MRI showed no venous flow in the inferior sagittal sinus. Lipoprotein a (Lp [a]) level was high and iron deficiency anemia (IDA) was found. [ncbi.nlm.nih.gov]

The child was found to have a sagittal sinus venous thrombosis caused by severe dietary iron deficiency anemia. [ncbi.nlm.nih.gov]

The coexistence of IDA and Lp (a) in patients with cerebral venous thrombosis is a very rare condition in adult patients. [ncbi.nlm.nih.gov]

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Cavernous Sinus Thrombosis

The list of complications provided in an article by Mueller regarding internal jugular vein thrombosis included pulmonary embolism, subclavian vein and superior sagittal sinus [ijcasereportsandimages.com]

Superior sagittal sinus thrombosis after internal jugular vein cannulation. [academic.oup.com]

Thrombosis of the lateral sinus (related to mastoiditis ) and thrombosis of the superior sagittal sinus (related to bacterial meningitis ) occur but are rarer than cavernous [merckmanuals.com]

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Protein S Deficiency

Two patients with protein S deficiency with acquired multiple pial and dural arteriovenous fistulae (AVFs) following superior sagittal sinus (SSS) thrombosis are reported. [ncbi.nlm.nih.gov]

A14-year-old boy presented with epileptic seizures and thrombosis of the superior sagittal sinus and frontal hemorrhagic venous infarction after ingestion of 50 mg of dimenhydrinate [ncbi.nlm.nih.gov]

Cros D, Comp PC, Beltran G, Gum G: Superior sagittal sinus thrombosis in a patient with protein S deficiency. Stroke 1990;21:633–636. [karger.com]

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