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J Neurol Neurosurg Psychiatry 83:1168-1169 doi:10.1136/jnnp-2012-303236
  • Neurological pictures

Vein of Labbe thrombosis by CT and MRI

  1. Vinodh Kumar3
  1. 1Department of Neurology, UTMB, Galveston, Texas, USA
  2. 2Department of Radiology, UT Houston, Houston, Texas, USA
  3. 3Department of Radiology, MD Anderson, Houston, Texas, USA
  1. Correspondence to Dr Girish Shroff, UT Houston Department of Radiology, 6431 Fannin St. MSB 2.130B, Houston, TX 77030, USA; gshroff78{at}yahoo.com
  1. Contributors All authors contributed significantly to this manuscript and have read and approved this submitted draft.

  • Received 16 May 2012
  • Revised 27 June 2012
  • Accepted 29 June 2012
  • Published Online First 28 July 2012

A 66-year-old man with tongue carcinoma presented to the emergency room (ER) with decreased oral intake for one week. In the ER, he experienced a generalised seizure. Neurological examination was non-focal. Noncontrast CT brain revealed bandlike high attenuation along the course of the left vein of Labbe (figure 1). Findings suggested vein of Labbe thrombosis and were confirmed with MRI and magnetic resonance venography (MRV) (figure 2).

Figure 1

Noncontrast CT brain (cephalad to caudad in A–D) revealing bandlike high attenuation suggestive of thrombus along the expected course of the left vein of Labbe (arrows).

Figure 2

MRI and magnetic resonance venography of vein of Labbe thrombosis. An extra-axial band corresponding to the thrombosed vein of Labbe is isointense on T1-weighted imaging …

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