Case Notes
History
30 year old female who is one week post partum and presents with severe headache and some nonspecific change in vision.Exam
MR diffusion with DWI & ADC maps
Prior Study
CT headThere is thrombosis of the right vein of Trolard.
There is hemorrhagic conversion of the thrombosed vein of Trolard producing local mass effects.
There are small volume subarachnoid blood products evident within vertex sulci bilaterally and in both the suprasellar and prepontine cisterns.
CT Perfusion: No imaging available
CTV/MRV of the neck: No imaging available
Post contrast head CT: No imaging available
MRV of the head
There is mesial segmental occlusion of the right vein of Trolard. Focal displacement of cortical veins in the right parietal vertex is related to the parenchymal hematoma associated with the vein of Trolard thrombosis.
Anomolous, hypoplastic frontal SSS segmental hypoplasia anatomic variant is present.
MR T1-w sequence: No imaging available