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KMID : 0911820180190010029
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Korean Journal of Headache
2018 Volume.19 No. 1 p.29 ~ p.32
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Characteristic Image Findings In A Patient With Deep Cerebral Venous Thrombosis Presented With Headache And Cognitive Decline
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Lee Jung-Ju
Kwon O-Hyun
Park Jong-Moo
Kang Kyu-Sik
Lee Woong-Woo
Yoon Jung-Hwan
Kim Byung-Kun
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Abstract
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Cerebral venous sinus thrombosis is an uncommon disorder and difficult to diagnose because of variable clinical symptoms. A 61-year old man was admitted to our hospital with dull headache and progressive cognitive decline. Brain computed tomography (CT) and Magnetic resonance image (MRI) showed cerebral deep vein thromobus with dilated medullary and subependymal veins which were prominently observed on gradient echo image. Antiphopholipid antibodies were identified on blood test. After treatment with anticoagluation, thrombus was disappeared and the patient nearly recovered. MRI with gradient echo image is essential for early diagnosis of cerebral deep vein thrombosis.
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KEYWORD
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Cerebral venous sinus, Thrombosis, Magnetic resonance image, Gradient echo image
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