Labbé vein thrombosis
- 13 April 2020
- journal article
- research article
- Published by Springer Science and Business Media LLC in Neuroradiology
- Vol. 62 (8), 935-945
- https://doi.org/10.1007/s00234-020-02396-x
Abstract
Purpose Evaluate the prevalence of Labbé vein thrombosis (LVT) and its liability for the lesions observed in the case of associated ipsilateral transverse sinus thrombosis (TST). Methods MRI findings of 58 consecutive patients (≥ 18 years) with acute LVT and TST (group 1) were compared with those of 149 patients with acute TST-no LVT (group 2) observed during the same period. Results The prevalence of LVT was 15.2%. Group 1: TST extended to sigmoid sinus in 94.8%, resulting in complete sinuses occlusion. Any lesion was observed in 81% within LV territory: swelling (n = 5, 8.6%), edema (n = 9; 15.5%), non-hemorrhagic Infarct (n = 1; 1.7%), multiple temporal lobe hemorrhages (n = 31; 53.5%), temporal lobe hematoma (n = 13; 22.4%), and pericerebral hemorrhages (n = 28; 50%). The hemorrhagic lesions were not related to dominant TST or to extensive venous thrombosis. There was a prevalence of left TST- LVT (n = 32; 55.2%) and a higher prevalence of hemorrhagic lesions in this subset (59.4%). Risk factors were also associated (p = 0.03). Group 2: the TST resulted in an occlusion of the TS: (i) complete (n = 16; 10.7%); (ii) incomplete (n = 97; 82.8%); and (iii) segmental, involving the TS before (n = 32; 21.5%) or after (n = 10; 6.7%) LV ending within the TS. No parenchymal/pericerebral lesions were associated. Conclusion This study shows a strong association between the following: (i) the extent of thrombosis in the TS and the presence of LVT (p < 0.0001), (ii) the concomitance of LVT-TST and the presence of lesions in the LV territory and at the temporo-frontal convexity, (iii) risk factors and group 1 (p = 0.03).This publication has 37 references indexed in Scilit:
- Neonatal Vein of Labbé Infarction Size is Associated With Long-Term Language OutcomesPediatric Neurology, 2017
- Vein of Labbe thrombosis by CT and MRIJournal of Neurology, Neurosurgery & Psychiatry, 2012
- Neurologic Outcome in Neonatal Temporal Lobe Hemorrhagic Venous InfarctsJournal of Child Neurology, 2009
- Multimodal Monitoring During Emergency Hemicraniectomy for Vein of Labbe ThrombosisNeurocritical Care, 2006
- Isolated left vein of Labbe thrombosisNeurology, 2005
- Neonatal Temporal Lobar Hemorrhage Secondary to Thrombosis of the Vein of LabbéJournal of Perinatology, 2005
- Case 62: Lobar Hemorrhage from Thrombosis of the Vein of LabbéRadiology, 2003
- Dural sinus thrombosis presenting as unilateral lobar haematomas with mass effect: An easily misdiagnosed cause of cerebral haemorrhageAustralasian Radiology, 2002
- Thrombosis of the right vein of Labbé: radiological and clinical findingsNeuroradiology, 1993
- Pure agraphia of kanji due to thrombosis of the Labbe vein.Journal of Neurology, Neurosurgery & Psychiatry, 1990