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Deep medullary vein engorgement and superficial medullary vein engorgement: two patterns of perinatal venous stroke

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Abstract

Perinatal venous stroke has classically been attributed to cerebral sinovenous thrombosis with resultant congestion or thrombosis of the small veins draining the cerebrum. Advances in brain MRI, in particular susceptibility-weighted imaging, have enabled the visualization of the engorged small intracerebral veins, and the spectrum of perinatal venous stroke has expanded to include isolated congestion or thrombosis of the deep medullary veins and the superficial intracerebral veins. Congestion or thrombosis of the deep medullary veins or the superficial intracerebral veins can result in vasogenic edema, cytotoxic edema or hemorrhage in the territory of disrupted venous flow. Deep medullary vein engorgement and superficial medullary vein engorgement have characteristic findings on MRI and should be differentiated from neonatal hemorrhagic stroke.

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Authors and Affiliations

  1. Department of Radiology, University of Washington School of Medicine, Seattle Children’s Hospital, 4800 Sand Point Way NE, Seattle, WA, 98105, USA

    Hedieh Khalatbari, Jason N. Wright, Gisele E. Ishak, Francisco A. Perez & Dennis W. W. Shaw

  2. Department of Neurology, University of Washington School of Medicine, Seattle Children’s Hospital, Seattle, WA, USA

    Catherine M. Amlie-Lefond

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  1. Hedieh Khalatbari
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  2. Jason N. Wright
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Khalatbari, H., Wright, J.N., Ishak, G.E. et al. Deep medullary vein engorgement and superficial medullary vein engorgement: two patterns of perinatal venous stroke. Pediatr Radiol 51, 675–685 (2021). https://doi.org/10.1007/s00247-020-04846-3

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