Occlusion of sinus sagittalis superior by infiltration of a tumor metastasis
Arns, W.; Engel, H.; Thun, F.
Fortschritte der Neurologie Psychiatrie und Ihrer Grenzgebiete 43(7): 342-346
1975
ISSN/ISBN: 0015-8194 PMID: 1041251 Document Number: 93034
As a casuistic contribution to differential diagnosis of thrombosis of cerebral veins and sinuses a case of occlusion of sinus sagittalis superior by infiltration of an intracerebral metastasis from a teratoma of testis is reported. The leading symptoms - epileptic seizures, progressive hemiplegia, choked papilla and clouding of consciousness - gave rise to the tentative diagnosis of a cerebral tumor; in carotis angiography however, the metastasis was not detected, merely the occlusion of the sinus was demonstrated. Therefore the progress of the syndrome was misinterpreted as caused by an advancement of a venous thrombosis. Only autopsy showed the symptomless primary tumor and its formation of metastases.