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Images in Neurology
August 2013

Extensive Cerebral Venous Thrombosis

Author Affiliations
  • 1Tufts Medical Center, Boston, Massachusetts

Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Neurol. 2013;70(8):1070-1071. doi:10.1001/jamaneurol.2013.1952

A 50-year-old man with a history of hyperlipidemia presented with worsening headache following a motor vehicle crash that had caused a closed head injury. He had no neurologic deficits and optic discs were difficult to appreciate. Hypercoagulable panel results (including antithrombin III, factor V Leiden, prothrombin G20210A mutation, protein C, protein S, lupus anticoagulant, anticardiolipin antibodies, and β-2 microglobulin) were unremarkable. Computed tomographic head noncontrast on admission had demonstrated possible cerebral venous thrombosis, and computed tomographic venography was performed to confirm this diagnosis (Figure 1).