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KMID : 1001920150580050476
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Journal of Korean Neurosurgical Society
2015 Volume.58 No. 5 p.476 ~ p.478
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Isolated Cortical Vein Thrombosis with Long Cord Sign
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Ban Seung-Pil
Chung Young-Seob
Park Sung-Bae
Son Young-Je
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Abstract
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Isolated cortical vein thrombosis (ICVT) is a rare disease, accounting for less than 1% of strokes. A 46-year-old woman presented with progressive left side weakness. Magnetic resonance (MR) imaging with T2*-gradient echo (T2*-GE) sequence showed long cord sign at the right frontal cortex. The patient was treated with low molecular weight heparin, followed by oral warfarin for 6 months. The 3-month follow-up MR imaging showed recanalization of the previously thrombosed cortical vein. She was completely recovered without neurological deficits after 6 months. This provides that MR imaging with T2*-GE sequence can help to diagnosis the ICVT and outcomes of the ICVT are generally favorable.
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KEYWORD
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Cortical vein thrombosis, Cord sign, Hemorrhagic infarction
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