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Computed Tomography Findings of Cerebral Venous Thrombosis: A Case Report

Alex Y Koo, MD*^, Samuel Shulimson, DO*^, and Joelle Borhart, MD*^

*Georgetown University Medical Center, Department of Emergency Medicine, Washington, DC
^MedStar Washington Hospital Center, Department of Emergency Medicine, Washington, DC

Correspondence should be addressed to Alex Y Koo, MD at alex.y.koo@medstar.net

DOI: https://doi.org/10.5070/M5.52331Issue 11:3
Visual EMCardiology/VascularCurrent IssueNeurology
[mrp_rating_result]
Cerebral Venous Thrombosis. CT Non Contrast Axial Unannotated. JETem 2026
Cerebral Venous Thrombosis. CT Coronal Unannotated. JETem 2026
Cerebral Venous Thrombosis. CTA Axial Unannotated. JETem 2026
Cerebral Venous Thrombosis. CT Non Contrast Axial Annotated. JETem 2026
Cerebral Venous Thrombosis. CT Coronal Annotated. JETem 2026
Cerebral Venous Thrombosis. CTA Axial Annotated. JETem 2026

ABSTRACT:

Cerebral venous thrombosis (CVT) is an uncommon occurrence, but it carries significant morbidity.1  CVT symptoms overlap with other common emergency department conditions, and it requires a specific neuroimaging for accurate detection, making this diagnosis a significant challenge for emergency clinicians. We present a case of a 20-year-old postpartum woman with a history of a post-dural puncture headache following a spinal block with worsening headache and disequilibrium.  She was found to have a cerebral venous thrombosis on non-contrast head CT and CT venogram of the head.  Her course was uncomplicated with appropriate symptom control while on anticoagulation.  We review her CT imaging findings and provide a brief review of the current recommendations and literature on CVT.

Topics: Cerebral venous thrombosis, empty delta sign, CT venogram, headache, dural sinus thrombosis.

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CTIssue 11:3

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