Presentation
Headache, neck stiffness and confusion 1/7. No other associations. Bloods unremarkable. Acute confusional state ?cause ?intracranial pathology
Patient Data
Large acute hemorrhage left frontoparietal hemorrhage. Small amount of associated adjacent acute subarachnoid hemorrhage reaching to the left sylvian fissure.
Mass effect causing sulcal effacement at the vertex.
Small midline anterior hyperdensity at the vertex suggestive of thrombus in the sagittal sinus.
Filling defect in the superior sagittal sinus (at the vertex) consistent with a dural venous thrombus.
Left hemisphere hemorrhage as on the unenhanced study.
Case Discussion
Parenchymal hemorrhage from venous occlusion is one of the known, albeit not overtly common, complications of dural venous sinus thrombosis.
Dural venous thromboses most commonly occur in young to middle-aged females, however, since the widespread rollout of COVID-19 vaccinations, this condition has become a 'household name' given its association with the Astra Zenica vaccine.
This case was not related to COVID-19 vaccination.
The then Secretary of State Hillary Clinton suffered from a venous sinus thrombosis in 2012 1.
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