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  Vol. 132 No. 7, July 2006 TABLE OF CONTENTS
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  Clinical Problem Solving: Radiology
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Radiology Quiz Case 2: Diagnosis

Arch Otolaryngol Head Neck Surg. 2006;132:804-805.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

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.


 
Figure appears in full text version.
Figure 1.



 
Figure appears in full text version.
Figure 2.


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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RELATED ARTICLE

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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