Non-Thrombotic Filling Defects in Cerebral Veins and Sinuses: When Normal Structures Mimic a Disease
Cerebral venous thrombosis (CVT) is a rare and potentially critical cerebrovascular disease involving intracranial dural sinuses and veins. The diagnosis is a stepwise pathway starting from clinical suspicion and employing several neuroradiological techniques, mainly Computed Tomography (CT)-based a...
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2025-01-01
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author | Marialuisa Zedde Rosario Pascarella |
author_facet | Marialuisa Zedde Rosario Pascarella |
author_sort | Marialuisa Zedde |
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description | Cerebral venous thrombosis (CVT) is a rare and potentially critical cerebrovascular disease involving intracranial dural sinuses and veins. The diagnosis is a stepwise pathway starting from clinical suspicion and employing several neuroradiological techniques, mainly Computed Tomography (CT)-based and Magnetic Resonance Imaging (MRI)-based modalities. The neuroradiological findings, both in the diagnostic phase and in the follow-up phase, may provide some results at risk for misdiagnosis. Non-thrombotic filling defects of intracranial dural sinuses are among them, and the potential sources are artefactual and or anatomical (venous septa and arachnoid granulations). The misdiagnosis of these findings as CVT is potentially linked to dangerous consequences. A potential strategy to avoid this is to increase the knowledge about technical and anatomical reasons for non-thrombotic filling defects of intracranial dural sinuses and their imaging features. The main aim of this review is to address these issues, including the variability of the intracranial venous pathways, providing the solutions for overcoming the above-cited potential misdiagnosis of non-thrombotic filling defects as CVT. |
format | Article |
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institution | Kabale University |
issn | 2035-8377 |
language | English |
publishDate | 2025-01-01 |
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spelling | doaj-art-f612c1754f96403b88ee0df397ecd59c2025-01-24T13:44:24ZengMDPI AGNeurology International2035-83772025-01-01171910.3390/neurolint17010009Non-Thrombotic Filling Defects in Cerebral Veins and Sinuses: When Normal Structures Mimic a DiseaseMarialuisa Zedde0Rosario Pascarella1Neurology Unit, Stroke Unit, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, Viale Risorgimento 80, 42123 Reggio Emilia, ItalyNeuroradiology Unit, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, Viale Risorgimento 80, 42123 Reggio Emilia, ItalyCerebral venous thrombosis (CVT) is a rare and potentially critical cerebrovascular disease involving intracranial dural sinuses and veins. The diagnosis is a stepwise pathway starting from clinical suspicion and employing several neuroradiological techniques, mainly Computed Tomography (CT)-based and Magnetic Resonance Imaging (MRI)-based modalities. The neuroradiological findings, both in the diagnostic phase and in the follow-up phase, may provide some results at risk for misdiagnosis. Non-thrombotic filling defects of intracranial dural sinuses are among them, and the potential sources are artefactual and or anatomical (venous septa and arachnoid granulations). The misdiagnosis of these findings as CVT is potentially linked to dangerous consequences. A potential strategy to avoid this is to increase the knowledge about technical and anatomical reasons for non-thrombotic filling defects of intracranial dural sinuses and their imaging features. The main aim of this review is to address these issues, including the variability of the intracranial venous pathways, providing the solutions for overcoming the above-cited potential misdiagnosis of non-thrombotic filling defects as CVT.https://www.mdpi.com/2035-8377/17/1/9non-thrombotic filling defectscerebral venous thrombosisCVTdural sinussuperior sagittal sinustransverse sinus |
spellingShingle | Marialuisa Zedde Rosario Pascarella Non-Thrombotic Filling Defects in Cerebral Veins and Sinuses: When Normal Structures Mimic a Disease Neurology International non-thrombotic filling defects cerebral venous thrombosis CVT dural sinus superior sagittal sinus transverse sinus |
title | Non-Thrombotic Filling Defects in Cerebral Veins and Sinuses: When Normal Structures Mimic a Disease |
title_full | Non-Thrombotic Filling Defects in Cerebral Veins and Sinuses: When Normal Structures Mimic a Disease |
title_fullStr | Non-Thrombotic Filling Defects in Cerebral Veins and Sinuses: When Normal Structures Mimic a Disease |
title_full_unstemmed | Non-Thrombotic Filling Defects in Cerebral Veins and Sinuses: When Normal Structures Mimic a Disease |
title_short | Non-Thrombotic Filling Defects in Cerebral Veins and Sinuses: When Normal Structures Mimic a Disease |
title_sort | non thrombotic filling defects in cerebral veins and sinuses when normal structures mimic a disease |
topic | non-thrombotic filling defects cerebral venous thrombosis CVT dural sinus superior sagittal sinus transverse sinus |
url | https://www.mdpi.com/2035-8377/17/1/9 |
work_keys_str_mv | AT marialuisazedde nonthromboticfillingdefectsincerebralveinsandsinuseswhennormalstructuresmimicadisease AT rosariopascarella nonthromboticfillingdefectsincerebralveinsandsinuseswhennormalstructuresmimicadisease |