Clinical Imaging
Volume 34, Issue 2 , Pages 134-137, March 2010

Bilateral thalamic infarction—a rare manifestation of dural venous sinus thrombosis

  • Johannes Gossner

      Affiliations

    • Institute for Roentgendiagnostics, Braunschweig Teaching Hospitals, Braunschweig, Germany
    • ,
  • Jörg Larsen

      Affiliations

    • Department of Clinical Radiology, Weende Teaching Hospitals, Goettingen, Germany
    • Corresponding Author InformationCorresponding author. Department of Clinical Radiology, Evangelisches Krankenhaus gGmbH, An der Lutter 24, D-37075 Goettingen, Germany. Tel.: +49 5551 5034 1271; fax: +49 5551 5034 1127.
    • ,
  • Michael Knauth

      Affiliations

    • Department of Neuroradiology, Universitymedicine Goettingen, Goettingen, Germany

Received 9 April 2009; accepted 19 May 2009. published online 12 August 2009.

Abstract 

Bilateral infarctions of the thalamus account for only a small fraction of ischemic strokes and carry a poor prognosis. These infarcts rarely have a venous etiology. A case secondary to straight sinus thrombosis is presented. Difficulties in considering the diagnosis and its radiological appearances are discussed. A simple imaging pathway including computed tomographic angiography and magnetic resonance imaging including a susceptibility-weighted sequence is presented in order to facilitate determination of the exact etiology in order to optimize therapy accordingly.

Keywords: Cerebral venous thrombosis, Imaging, Infarct, Stroke, Thalamus

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PII: S0899-7071(09)00124-7

doi:10.1016/j.clinimag.2009.05.008

Clinical Imaging
Volume 34, Issue 2 , Pages 134-137, March 2010

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