The pseudo-delta sign is unreliable in differentiating between aneurysmal SAH and sinus thrombosis in unenhanced brain CT.

Eur J Radiol

Department of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.

Published: August 1998

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http://dx.doi.org/10.1016/s0720-048x(97)00099-5DOI Listing

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A case of superior sagittal sinus (SSS) thrombosis with a "pseudo-delta sign" on computed tomography (CT) is reported. The so-called "empty delta sign," which usually appears following contrast enhancement, is reliable in the CT diagnosis of SSS thrombosis but may not appear, it is said, in the extremely acute stage. In this patient, however, the "empty delta sign" appeared with precontrast CT scans and disappeared with postcontrast CT scans, "pseudo-delta sign," in the extremely acute stage of SSS thrombosis.

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