Hyperacute Venous Stroke: CTV-MRV Neck
Hyperacute Venous Stroke: CTV-MRV Neck
Search Pattern Assist ?History
Exam
Purpose
2. Assess for aggressive infections or invasive tumor in the nasopharynx and skull base.
3. Assess for exaggerated volume of blood in the retropharyngeal venous plexus, or in the inferior petrosal sinuses, or in the high cervical (suboccipital veins; all are potential collateral pathways in CVT.
4. Assess for cavernous sinus thrombosis.
Prior Study
CT Perfusion
Findings
CTV - MRV Neck
There is evidence of internal jugular vein thrombosis. [Yes/No]
There is evidence of jugular vein thrombus propagating to the sigmoid sinus (jugular foramen syndrome). [Yes/No]
There is evidence of nasophayngeal infectious process resulting in jugular vein thrombosis (Lemierre’s syndrome). [Yes/No]
There is evidence of nasophayngeal inflammatory process resulting in cavernous sinus thrombosis. [Yes/No]
There is evidence of aggressive otomastoiditis resulting in sigmoid/transverse sinus thrombosis. [Yes/No]
Other
Other findings are present to suggest other concurrent disease. [Yes/No]
Impression
Hyperacute Stroke - Venous, Diagnostic: CTV-MRV Neck
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Continue with venous thrombosis protocol CTV or MR with MRV.