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CASE REPORT
Transient ischaemic attack: an exceptional presenting syndrome of a superior sagittal sinus thrombosis
  1. Assunta Scuotto,
  2. Raffaele D'Avanzo,
  3. Massimo Natale,
  4. Michele Rotondo
  1. Department of Neuroscience, Second University of Naples, Naples, Italy
  1. Correspondence to Professor Assunta Scuotto, assunta.scuotto{at}unina2.it

Summary

We report a case of a transient ischaemic attack (TIA) as an exceptionally rare form of cerebral vein thrombosis. A 41-year-old man presented with a headache and five episodes of a transient left hemiparesis lasting approximately 10–15 min over the course of 2 weeks. Arterial origins of the disease were ruled out by detailed investigations. However, MR venography revealed a superior sagittal sinus thrombosis with numerous prominent collateral venous channels. No parenchymal lesion was seen. After medical therapy, no further transient neurological deficit occurred. Follow-up MR venography showed sinus recanalisation.

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