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IMAGES IN NEUROLOGY
Year : 2020  |  Volume : 23  |  Issue : 5  |  Page : 704-705
 

Corpus Callosal Hemorrhage: A Rare Presentation of Extensive Cerebral Venous Thrombosis


1 Department of Neurology, (NIMHANS), Hosur Road, Bengaluru, Karnataka, India
2 Department of Neuro Imaging and Intervention Radiology, (NIMHANS), Hosur Road, Bengaluru, Karnataka, India

Date of Submission14-Jan-2020
Date of Acceptance07-Feb-2020
Date of Web Publication8-Dec-2020

Correspondence Address:
Saraswati Nashi
Department of Neurology, National Institute of Mental Health and Neurosciences, Hosur Road, Bengaluru - 560 029, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aian.AIAN_25_20

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How to cite this article:
Ganeshbai PV, Reddy Taallapalli AV, Sharma P P, Karthik K, Nashi S, Kulkarni GB, Alladi S. Corpus Callosal Hemorrhage: A Rare Presentation of Extensive Cerebral Venous Thrombosis. Ann Indian Acad Neurol 2020;23:704-5

How to cite this URL:
Ganeshbai PV, Reddy Taallapalli AV, Sharma P P, Karthik K, Nashi S, Kulkarni GB, Alladi S. Corpus Callosal Hemorrhage: A Rare Presentation of Extensive Cerebral Venous Thrombosis. Ann Indian Acad Neurol [serial online] 2020 [cited 2021 Sep 25];23:704-5. Available from: https://www.annalsofian.org/text.asp?2020/23/5/704/302593




A 28-year-old gentleman presented with occipital headache, vomiting, seizures with no deficits. Imaging showed corpus callosal hemorrhage (CCH) in genu with venous thrombosis [Figure 1] and [Figure 2].
Figure 1: (a) CT head plain-hyperdensity in genu of corpus callosum suggestive of hemorrhage (red arrow) and hyperdensity in bilateral internal cerebral veins and straight sinus (blue arrows) suggesting thrombus. (b) CT head plain shows hyperdensity in thalamostriate vein suggestive of thrombus. (c) Sagittal reformat of contrast image shows filling defect in superior sagittal sinus. Straight sinus shows no hypodense filling defect probably due to inherent hyperdense character of the thrombus. (d) Contrast imaging shows thrombus in right transverse sinus

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Figure 2: (a) T1 shows hyperintensity at genu (red arrow) suggestive of hemorrhage and at confluence (blue arrow) suggesting thrombosis. (b) T1 reveals hyperintense right transverse sinus suggesting thrombosis. (c) T2 sagittal shows hypointense genu (red arrow) suggesting hemorrhage and hyperintense Superior sagittal sinus (SSS) (blue arrow) suggesting thrombosis. (d) T2 axial shows hyperintense SSS suggesting thrombosis. (e) Susceptibility Weighted Imaging (SWI) shows blooming in internal cerebral veins reflecting thrombosis. (f) SWI shows blooming in genu and thrombosis in straight sinus

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CCH is commonly caused by trauma, hypertension, arteriovenous malformation, and neoplasm. Corpus callosum is drained by callosal and Callosocingulate veins which converge into the subependymal venous system and eventually drain into the anterior septal vein and thence into internal cerebral veins.[1] Very low incidence of CCH in Cerebral Venous Thrombosis (CVT) is probably due to alternate drainage into basal vein and vein of Galen,[2] circumventing internal cerebral veins. In this patient, there is involvement of both superficial and deep venous sinuses.

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Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Erbas G, Oner AY, Akpek S, Tokgoz N. Corpus callosum hematoma secondary to isolated inferior sagittal sinus thrombosis. Acta Radiol 2006;47:1085-8.  Back to cited text no. 1
    
2.
Kulkarni GB, Pendarkar H, Mirza MA, Mustare VK. Corpus callosal hemorrhage due to deep cerebral venous sinus thrombosis: Neurol India 2014;62:563-5.  Back to cited text no. 2
    


    Figures

  [Figure 1], [Figure 2]



 

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