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Thrombosis of the right superior anastomotic vein (vein of Trolard)

Palacios III, MD RGPIM - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Thrombosis of the right superior anastomotic vein (vein of Trolard)

History: 31 year old G1 P2002 at 7 days post partum after spontaneous vaginal delivery complicated by late pre-eclampsia presents with new onset left sided weakness and headache.

Findings: MRI/MRV of the brain demonstrates a filling defect in a large cortical draining vein, likely the vein of Trolard, on the right corresponding to territorial high signal abnormalities on FLAIR and diffusion weighted images and low signal abnormalities on ADC images.

Ddx: None.

Dxhow: MRI/MRV

Exam: VITALS - BP 110/70, HR 80, Resp 12, Temp 97.6 PHYSICAL EXAM - Alert, Awake and Oriented - CN I-XII intact - 3/5 upper and lower extremity on both flexion and extention on left. normal right. - nl sensation to hot,cold,light touch and pin prick in all extremities. LABS - normal Electrolytes, Hgb/Hct, and WBCs.

No MeSH data available.


Coronally oriented 3D MRV/MRI image shows a filling defect along the right outer convexity when compared to the contralateral side.  Venous structure is in the expected location of the superficial cortical vein of Trolard and is in the expected location given signal abnormalities visible on the other pulse sequences.
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MPX1247_synpic24621: Coronally oriented 3D MRV/MRI image shows a filling defect along the right outer convexity when compared to the contralateral side. Venous structure is in the expected location of the superficial cortical vein of Trolard and is in the expected location given signal abnormalities visible on the other pulse sequences.


Thrombosis of the right superior anastomotic vein (vein of Trolard)

Palacios III, MD RGPIM - MedPix

Coronally oriented 3D MRV/MRI image shows a filling defect along the right outer convexity when compared to the contralateral side.  Venous structure is in the expected location of the superficial cortical vein of Trolard and is in the expected location given signal abnormalities visible on the other pulse sequences.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1247&req=5

MPX1247_synpic24621: Coronally oriented 3D MRV/MRI image shows a filling defect along the right outer convexity when compared to the contralateral side. Venous structure is in the expected location of the superficial cortical vein of Trolard and is in the expected location given signal abnormalities visible on the other pulse sequences.

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Thrombosis of the right superior anastomotic vein (vein of Trolard)

History: 31 year old G1 P2002 at 7 days post partum after spontaneous vaginal delivery complicated by late pre-eclampsia presents with new onset left sided weakness and headache.

Findings: MRI/MRV of the brain demonstrates a filling defect in a large cortical draining vein, likely the vein of Trolard, on the right corresponding to territorial high signal abnormalities on FLAIR and diffusion weighted images and low signal abnormalities on ADC images.

Ddx: None.

Dxhow: MRI/MRV

Exam: VITALS - BP 110/70, HR 80, Resp 12, Temp 97.6 PHYSICAL EXAM - Alert, Awake and Oriented - CN I-XII intact - 3/5 upper and lower extremity on both flexion and extention on left. normal right. - nl sensation to hot,cold,light touch and pin prick in all extremities. LABS - normal Electrolytes, Hgb/Hct, and WBCs.

No MeSH data available.