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Neurological pictures
Vein of Labbe thrombosis by CT and MRI
  1. Sheetal Shivaprasad1,
  2. Girish Shroff2,
  3. 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

https://doi.org/10.1136/jnnp-2012-303236

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    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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    Footnotes

    • Competing interests None.

    • Provenance and peer review Not commissioned; externally peer reviewed.