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Bilateral corpus callosum and corona radiata infarction due to cerebral venous sinus thrombosis presenting as headache and acute reversible aphasia: a rare case report.
BMC Neurol. 2020 Jun 19; 20(1):249.BN

Abstract

BACKGROUND

Cerebral venous sinus thrombosis (CVST), a rare cause of cerebral infarction, is often unrecognized at initial presentation. We report the case of a patient with bilateral corpus callosum and corona radiata infarction due to cerebral venous sinus thrombosis presenting as headache and acute reversible aphasia.

CASE PRESENTATION

A 30-year-old female patient presented with headache, vomiting, and motor aphasia. She was 20 days post-partum and had a lower than normal food intake following a normal vaginal delivery. Brain magnetic resonance images revealed a bilateral corpus callosum and corona radiata infarction. MR venography (MRV) and digital subtraction angiography (DSA) images showed a signal void in the anterior aspect of the superior sagittal sinus and inferior sagittal sinus, ophthalmic vein expansion, and the reversed direction of venous flow. In addition, images showed non-visualization of the left transverse sinus. The left slender sigmoid sinus and small internal jugular vein were also noted. The diagnosis of cerebral venous thrombosis was considered based on the above findings. The patient was managed with anticoagulation therapy, and recovered substantially after treatment.

CONCLUSIONS

Bilateral corpus callosum and corona radiata infarction is very rare. However, for patients who clinically show cranial hypertension and neurological deficits during the puerperium period, the possibility of CVST should be considered. Furthermore, DSA plays an important role in the diagnosis of CVST, and should be routinely checked. Early diagnosis is crucial for the patient suffering from CVST.

Authors+Show Affiliations

Encephalopathy Hospital, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450000, Henan, China.Encephalopathy Hospital, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450000, Henan, China.Encephalopathy Hospital, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450000, Henan, China.Encephalopathy Hospital, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450000, Henan, China.Encephalopathy Hospital, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450000, Henan, China.Cerebral Palsy Rehabilitation Department, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, Henan, China. zhangyong005270@163.com.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

32560642

Citation

Lan, Rui, et al. "Bilateral Corpus Callosum and Corona Radiata Infarction Due to Cerebral Venous Sinus Thrombosis Presenting as Headache and Acute Reversible Aphasia: a Rare Case Report." BMC Neurology, vol. 20, no. 1, 2020, p. 249.
Lan R, Ma YZ, Shen XM, et al. Bilateral corpus callosum and corona radiata infarction due to cerebral venous sinus thrombosis presenting as headache and acute reversible aphasia: a rare case report. BMC Neurol. 2020;20(1):249.
Lan, R., Ma, Y. Z., Shen, X. M., Wu, J. T., Gu, C. Q., & Zhang, Y. (2020). Bilateral corpus callosum and corona radiata infarction due to cerebral venous sinus thrombosis presenting as headache and acute reversible aphasia: a rare case report. BMC Neurology, 20(1), 249. https://doi.org/10.1186/s12883-020-01829-7
Lan R, et al. Bilateral Corpus Callosum and Corona Radiata Infarction Due to Cerebral Venous Sinus Thrombosis Presenting as Headache and Acute Reversible Aphasia: a Rare Case Report. BMC Neurol. 2020 Jun 19;20(1):249. PubMed PMID: 32560642.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bilateral corpus callosum and corona radiata infarction due to cerebral venous sinus thrombosis presenting as headache and acute reversible aphasia: a rare case report. AU - Lan,Rui, AU - Ma,Yun-Zhi, AU - Shen,Xiao-Ming, AU - Wu,Ji-Tao, AU - Gu,Chun-Qing, AU - Zhang,Yong, Y1 - 2020/06/19/ PY - 2020/01/04/received PY - 2020/06/12/accepted PY - 2020/6/21/entrez PY - 2020/6/21/pubmed PY - 2020/10/22/medline KW - Acute reversible aphasia KW - Case report KW - Cerebral venous sinus thrombosis KW - Corpus callosum and radiata infarction KW - Headache SP - 249 EP - 249 JF - BMC neurology JO - BMC Neurol VL - 20 IS - 1 N2 - BACKGROUND: Cerebral venous sinus thrombosis (CVST), a rare cause of cerebral infarction, is often unrecognized at initial presentation. We report the case of a patient with bilateral corpus callosum and corona radiata infarction due to cerebral venous sinus thrombosis presenting as headache and acute reversible aphasia. CASE PRESENTATION: A 30-year-old female patient presented with headache, vomiting, and motor aphasia. She was 20 days post-partum and had a lower than normal food intake following a normal vaginal delivery. Brain magnetic resonance images revealed a bilateral corpus callosum and corona radiata infarction. MR venography (MRV) and digital subtraction angiography (DSA) images showed a signal void in the anterior aspect of the superior sagittal sinus and inferior sagittal sinus, ophthalmic vein expansion, and the reversed direction of venous flow. In addition, images showed non-visualization of the left transverse sinus. The left slender sigmoid sinus and small internal jugular vein were also noted. The diagnosis of cerebral venous thrombosis was considered based on the above findings. The patient was managed with anticoagulation therapy, and recovered substantially after treatment. CONCLUSIONS: Bilateral corpus callosum and corona radiata infarction is very rare. However, for patients who clinically show cranial hypertension and neurological deficits during the puerperium period, the possibility of CVST should be considered. Furthermore, DSA plays an important role in the diagnosis of CVST, and should be routinely checked. Early diagnosis is crucial for the patient suffering from CVST. SN - 1471-2377 UR - https://www.unboundmedicine.com/medline/citation/32560642/Bilateral_corpus_callosum_and_corona_radiata_infarction_due_to_cerebral_venous_sinus_thrombosis_presenting_as_headache_and_acute_reversible_aphasia:_a_rare_case_report. L2 - https://bmcneurol.biomedcentral.com/articles/10.1186/s12883-020-01829-7 DB - PRIME DP - Unbound Medicine ER -