PMC9859986_01
(A-C) Cranial CT on the day of admission to neurological ICU showing pansinus thrombosis with accompanying atypical intracranial bleeding (white arrows). (D) Cranial CT showing progression of intracranial bleeding and midline shift despite decompressive hemicraniectomy and external ventricular drainage 7 days after admission (white arrow).
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A computed tomography (CT) angiography revealed atypical intracranial bleeding in the presence of massive pansinus CVST and jugular venous thrombosis (Figures 1A-C). The patient's neurological status deteriorated due to intracranial hemorrhage (Figure 1D) with signs of elevated intracranial pressure (ICP).
PMC9859986_02
(A, B) CT of the abdomen showing complete portal venous thrombosis and thrombosis of mesenteric veins (white arrows). (C) Doppler and duplex sonography showing a 3-level deep vein thrombosis of the left leg (white arrow). (D) Cranial MRI showing a small cavernoma but no other relevant pathology (white arrow).
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Abdominal CT scan showed complete portal and mesenteric vein thrombosis (Figure 2A,B). Duplex Doppler sonography of the leg vessels indicated deep vein thrombosis (Figure 2C). Magnetic resonance imaging (MRI) angiography showed no pathology other than a small cavernoma (Figure 2D).