Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Isolated Cortical Vein Thrombosis with Long Cord Sign

  • Ban, Seung Pil (Department of Neurosurgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital) ;
  • Chung, Young Seob (Department of Neurosurgery, Seoul National University College of Medicine, Seoul National University Boramae Hospital) ;
  • Park, Sung Bae (Department of Neurosurgery, Seoul National University College of Medicine, Seoul National University Boramae Hospital) ;
  • Son, Young-Je (Department of Neurosurgery, Seoul National University College of Medicine, Seoul National University Boramae Hospital)
  • Received : 2015.05.08
  • Accepted : 2015.10.06
  • Published : 2015.11.28
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Abstract

Isolated cortical vein thrombosis (ICVT) is a rare disease, accounting for less than 1% of strokes. A 46-year-old woman presented with progressive left side weakness. Magnetic resonance (MR) imaging with $T2^*$-gradient echo ($T2^*$-GE) sequence showed long cord sign at the right frontal cortex. The patient was treated with low molecular weight heparin, followed by oral warfarin for 6 months. The 3-month follow-up MR imaging showed recanalization of the previously thrombosed cortical vein. She was completely recovered without neurological deficits after 6 months. This provides that MR imaging with $T2^*$-GE sequence can help to diagnosis the ICVT and outcomes of the ICVT are generally favorable.

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References

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