Isolated superficial sylvian vein thrombosis with long cord sign: Case report and review of the literature

Yohei Kitamura, Cdatakoichi Hara, Kenichiro Tsunematsu

研究成果: Article査読

17 被引用数 (Scopus)


Isolated cortical vein thrombosis (ICVT) is extremely rare. Only single case or small series of ICVT have been reported; clinical details are still uncertain. We report a case of isolated superficial sylvian vein thrombosis with exceedingly long cord sign. A 14-year-old female with severe sudden onset headache visited our hospital. Fluid attenuated inversion recovery and echo-planar T2* susceptibility-weighted imaging (T2*SW) showed a long cord sign on the surface of the sylvian fissure. The patency of dural sinuses and deep cerebral veins were confirmed by magnetic resonance venography (MRV), and diagnosis of ICVT was made. She recovered completely without anticoagulant agents. To clarify the clinical characteristics of ICVT, we reviewed 51 ICVT cases in the literature. In many cases, T2*SW was the most useful examination to diagnose ICVT. In contrast with general cerebral venous thrombosis, MRV and conventional angiography were either supporting or useless. Anastomotic cortical veins were involved frequently; symptoms of gyri around the veins were common. It also suggested that ICVTs of the silent area might have been overlooked because of nonspecific symptoms, and more patients with ICVT may exist. In cases involving patients with nonspecific symptoms, the possibility of ICVT should be considered.

ジャーナルNeurologia medico-chirurgica
出版ステータスPublished - 2014

ASJC Scopus subject areas

  • 外科
  • 臨床神経学


「Isolated superficial sylvian vein thrombosis with long cord sign: Case report and review of the literature」の研究トピックを掘り下げます。これらがまとまってユニークなフィンガープリントを構成します。