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Radiology Quiz Case 2: Diagnosis
Arch Otolaryngol Head Neck Surg. 2006;132:804-805.
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Diagnosis: Lemierre syndrome
The axial contrast-enhanced magnetic resonance images (Figure 1) revealed a lack of enhancement in the distal left transverse sinus owing to a nonenhancing fresh clot. The dural enhancement around the left tentorium was abnormal, likely because of altered venous drainage. Reformatted magnetic resonance venography sequences (Figure 2) also demonstrated thrombosis throughout the left transverse sinus and the sigmoid sinus and allowed visualization of portions of the internal jugular vein. The rest of the dural venous sinuses were widely patent and normal in appearance.
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In 1936, Lemierre1 reported a constellation of findings that included anaerobic septicemia, internal jugular vein thrombosis, and septic emboli following an infection of the oropharynx, which came to be known by the eponym Lemierre syndrome. He described 20 patients with this phenomenon and noted that there was a 90% mortality rate within a few weeks of onset. After . . . [Full Text of this Article]
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Radiology Quiz Case 2
Neil Tanna, Leela Lavasani, Philip E. Zapanta, and Alpen Patel
Arch Otolaryngol Head Neck Surg. 2006;132(7):803-805.
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