A case of unilateral thalamic hemorrhagic infarction as a result of the vein of Galen and straight sinus thrombosis

J Stroke Cerebrovasc Dis. 2009 Jan;18(1):28-31. doi: 10.1016/j.jstrokecerebrovasdis.2008.07.008.


Straight sinus vein thrombosis represents 15% of all diagnosed sinus vein thrombosis. Thrombotic occlusion of the deep cerebral venous system, the straight sinus, and the vein of Galen causes centrally located and usually bilateral thalamic infarcts. Unilateral thalamic venous infarction is extremely rare. The clinical and radiologic findings can be nonspecific and diagnostically challenging. We report a patient with this unusual condition and review the available literature.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adolescent
  • Brain Infarction / etiology*
  • Brain Infarction / pathology
  • Cerebral Angiography
  • Cerebral Veins / pathology*
  • Contraceptives, Oral / adverse effects
  • Factor V / genetics
  • Female
  • Humans
  • Intracranial Hemorrhages / etiology*
  • Intracranial Hemorrhages / pathology
  • Magnetic Resonance Angiography
  • Phlebography
  • Risk Factors
  • Sinus Thrombosis, Intracranial / complications
  • Sinus Thrombosis, Intracranial / diagnosis*
  • Sinus Thrombosis, Intracranial / etiology
  • Sinus Thrombosis, Intracranial / pathology
  • Thalamic Diseases / etiology*
  • Thalamic Diseases / pathology
  • Tomography, X-Ray Computed


  • Contraceptives, Oral
  • factor V Leiden
  • Factor V