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Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleBrain

Retrograde Flow in the Left Inferior Petrosal Sinus and Blood Steal of the Cavernous Sinus Associated with Central Vein Stenosis: MR Angiographic Findings

Yahya Paksoy, Bülent Oğuz Genç and Emine Genç
American Journal of Neuroradiology August 2003, 24 (7) 1364-1368;
Yahya Paksoy
aUltra Görüntüleme Merkezi (Imaging Center)
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Bülent Oğuz Genç
bSelçuk University School of Medicine, Department of Neurology, Konya, Turkey
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Emine Genç
bSelçuk University School of Medicine, Department of Neurology, Konya, Turkey
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Figures

  • Fig 1.
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    Fig 1.

    Abnormal vascular signal intensity was seen in the left jugular bulb, inferior petrosal sinus, and cavernous sinus.

    A, 3D time-of-flight cranial arterial MR angiogram of the first patient shows high signal intensity in the left cavernous sinus together with the left inferior petrosal sinus and internal jugular vein at the level of the jugular bulb (arrows).

    B, MR angiogram of the second patient shows abnormal flow-related enhancement in the left inferior petrosal sinus because of a fistula (arrowhead, cavernous sinus; double arrowheads, inferior petrosal sinus; arrow, jugular bulb).

    C, Subvolumetric reconstructed maximum intensity projection image of the third patient shows more details of the inferior petrosal and cavernous sinuses (arrowheads, cavernous sinus; arrows, inferior petrosal sinus).

  • Fig 2.
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    Fig 2.

    When the flow signal intensity in the inferior petrosal sinus was saturated proximally, the flow signal intensity in the left inferior petrosal sinus was saturated whereas the flow signal intensity in the right inferior petrosal sinus was not.

    A, Section (lines) and saturation band (rectangle) position.

    B, Axial view fluid-attenuated fast low angle shot 2D image. Right transverse sinus and right jugular bulb (arrowheads) and right inferior petrosal sinus (arrow) show bright signal intensity. No vascular signal intensity can be seen in the left inferior petrosal sinus and internal carotid arteries.

  • Fig 3.
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    Fig 3.

    When the flow signal intensity in the distal inferior petrosal sinus was saturated, the flow signal intensity in the right inferior petrosal sinus was saturated whereas the flow signal intensity in the left inferior petrosal sinus was not.

    A, Section (lines) and saturation band (rectangle) position.

    B, Axial view fast low angle shot 2D image. Bilateral internal carotid arteries (arrowheads) and left inferior petrosal sinus (arrow) show bright signal intensity.

  • Fig 4.
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    Fig 4.

    Axial T2-weighted MR image shows normal flow void in the right internal jugular vein (arrows), whereas flow-related enhancement can be seen in the left internal jugular (arrow) vein due to sluggish flow.

  • Fig 5.
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    Fig 5.

    Contrast-enhanced MR angiograms show left brachiocephalic vein stenosis (arrow).

    A, Before subtraction of the arterial signals (in the third patient).

    B, After subtraction of the arterial signals (in the first patient).

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American Journal of Neuroradiology: 24 (7)
American Journal of Neuroradiology
Vol. 24, Issue 7
1 Aug 2003
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Cite this article
Yahya Paksoy, Bülent Oğuz Genç, Emine Genç
Retrograde Flow in the Left Inferior Petrosal Sinus and Blood Steal of the Cavernous Sinus Associated with Central Vein Stenosis: MR Angiographic Findings
American Journal of Neuroradiology Aug 2003, 24 (7) 1364-1368;

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Retrograde Flow in the Left Inferior Petrosal Sinus and Blood Steal of the Cavernous Sinus Associated with Central Vein Stenosis: MR Angiographic Findings
Yahya Paksoy, Bülent Oğuz Genç, Emine Genç
American Journal of Neuroradiology Aug 2003, 24 (7) 1364-1368;
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