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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleAdult Brain
Open Access

Atypical Deep Cerebral Vein Thrombosis with Hemorrhagic Venous Infarction in a Patient Positive for COVID-19

L. Chougar, B. Mathon, N. Weiss, V. Degos and N. Shor
American Journal of Neuroradiology August 2020, 41 (8) 1377-1379; DOI: https://doi.org/10.3174/ajnr.A6642
L. Chougar
aFrom the Service de Neuroradiologie (L.C., N.S.)
bService de Neurochirurgie (B.M.)
cAnesthesia, Critical Care and Perioperative Medicine (V.D.)
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  • ORCID record for L. Chougar
B. Mathon
bService de Neurochirurgie (B.M.)
cAnesthesia, Critical Care and Perioperative Medicine (V.D.)
dMédecine Intensive Réanimation Neurologique (N.W.), Hôpital Pitié-Salpêtrière, Assistance Publique–Hôpitaux de Paris, Paris, France
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N. Weiss
bService de Neurochirurgie (B.M.)
fInstitut du Cerveau et de la Moelle épinière (L.C., B.M.), National Institute for Health and Medical Research U 1127, Centre National de la Recherche Scientifique, Une Unité Mixte de Recherche, 7225, Sorbonne Université, Pierre and Marie Curie University, Une Unité Mixte de Recherche S 1127, Centre National de la Recherche Scientifique, Une Unité Mixte de Recherche 7225, Paris, France.
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V. Degos
bService de Neurochirurgie (B.M.)
eSorbonne Université (L.C., B.M., N.W., V.D., N.S.), Paris, France
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  • ORCID record for V. Degos
N. Shor
aFrom the Service de Neuroradiologie (L.C., N.S.)
bService de Neurochirurgie (B.M.)
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    Fig 1.

    Axial (A and C) and parasagittal (B and D) CT images without (upper row) and with contrast injection (lower row) show a right deep hypodensity involving the gray and white matter (A, arrowhead), with areas of hemorrhage (A, dashed arrow). The internal cerebral veins are shifted to the left and appear spontaneously hyperdense (A and B, arrows), without noticeable opacification (C and D, arrows).

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    Fig 2.

    Axial FLAIR (A), SWI (B, D, and E), and postcontrast T1-weighted MR images (C and F). There is an extensive asymmetrical vasogenic edema including the deep gray and white matters (A, arrows), with hemorrhage (B, arrow) and necrotic areas (C, arrow), corresponding to a hemorrhagic venous infarction. The basal veins of Rosenthal also appear involved on SWI (D, arrowhead). The medullary veins are dilated (E, dashed arrows), with associated curvilinear gadolinium enhancement (F, dashed arrows).

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American Journal of Neuroradiology: 41 (8)
American Journal of Neuroradiology
Vol. 41, Issue 8
1 Aug 2020
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Cite this article
L. Chougar, B. Mathon, N. Weiss, V. Degos, N. Shor
Atypical Deep Cerebral Vein Thrombosis with Hemorrhagic Venous Infarction in a Patient Positive for COVID-19
American Journal of Neuroradiology Aug 2020, 41 (8) 1377-1379; DOI: 10.3174/ajnr.A6642

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Atypical Deep Cerebral Vein Thrombosis with Hemorrhagic Venous Infarction in a Patient Positive for COVID-19
L. Chougar, B. Mathon, N. Weiss, V. Degos, N. Shor
American Journal of Neuroradiology Aug 2020, 41 (8) 1377-1379; DOI: 10.3174/ajnr.A6642
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