Isolated thrombosis of the vein of Labbe – Clinical and imaging features

Abstract We report the case of a normally fit and well 27 year old female, who presented to the Medical Assessment Unit with ongoing headaches, photophobia nausea and one episode of vomiting. Cranial Computed Tomography identified a wedge shape low density area in the right temporal lobe consistent with a venous infarct, which contained areas of acute haemorrhage. Further cranial magnetic resonance imaging confirmed the diagnosis of a thrombosed vein of labbe. This is a rare clinical finding. Her only risk factor was the recent commencement of the combined oral contraceptive pill. She was commenced on low molecular weight heparin and warfarin. Serial six month imaging revealed complete resolution of the thrombus.