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| NEUROIMAGES |
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| Year : 2019 | Volume
: 67
| Issue : 1 | Page : 324-325 |
Vein of Labbe territory hemorrhagic infarction- a distinct neurosurgical entity
Sunil Munakomi
Department of Neurosurgery, Nobel Teaching Hospital, Biratnagar, Nepal
| Date of Web Publication | 7-Mar-2019 |
Correspondence Address:
Dr. Sunil Munakomi
Department of Neurosurgery, Nobel Teaching Hospital, Biratnagar
Nepal
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0028-3886.253580
How to cite this article:
Munakomi S. Vein of Labbe territory hemorrhagic infarction- a distinct neurosurgical entity. Neurol India 2019;67:324-5 |
A 55-year old chronic alcoholic male patient presented to our emergency following sudden onset of altered sensorium and slurring of speech since last 6 hours. Neurological examination revealed his Glasgow coma scale (GCS) of E2V3M5 with slight pupillary asymmetry and right-sided hemiparesis. Urgent magnetic resonance imaging (MRI) of the brain with different sequences including perfusion mode scan along with MR venography revealed features highly suggestive of vein of Labbe territory hemorrhagic infarction following transverse sinus thrombosis [Figure 1] and [Figure 2]. The patient was taken up for surgical intervention following further neurological deterioration. | Figure 1: MRI sequences revealing features of vein of Labbe territory hemorrhagic infarction
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 | Figure 2: MR venography with perfusion mode scan depicting features of vein of Labbe territory infarction
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Vein of Labbe territory hemorrhagic infarction is a distinct neurosurgical entity owing to its high predisposition for an early uncal herniation with subsequent neurological deterioration.[1],[2],[3] Hence, there is an urgent need for a stringent monitoring of the patients and of early surgical intervention with application of a careful management algorithm for subsequent anticoagulation therapy.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| » References | |  |
| 1. | Munakomi S. Traumatic vein of Labbe hemorrhagic infarction—clinical profile and outcome analysis. Int J Med Sci Public Health 2016;5:252-5.  |
| 2. | Ruiz-Sandoval JL, Parada-Garza JD, Chiquete E, Marian-Magaña R, Figueroa-Sánchez GM. Intraventricular vein thrombosis in a patient with cerebral venous thrombosis. Neurol India 2017;65:1442-3. [ PUBMED] [Full text] |
| 3. | Dash D, Prasad K, Joseph L. Cerebral venous thrombosis: An Indian perspective. Neurol India 2015;63:318-28. [ PUBMED] [Full text] |
[Figure 1], [Figure 2]
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