Cerebral venous thrombosis is an important cause of stroke especially in peripartum settings and stroke in young. It often affects young to middle aged patients, and more commonly women. Objective of the study was to study the parenchymal changes and pattern of distribution of cerebral venous thrombosis on MRI and MR Venography with clinical correlation. It is a prospective cohort study conducted on 50 patients admitted as suspected case of CVT clinically to Bapuji hospital and Chigateri general hospital, attached to JJM Medical College, Davangere between June 2015 to December 2016.Results obtained were; majority of the patients belong to the group of 20 – 29 years 30 (60%), most common symptom was headache 40 (80%), most common presentation was subacute onset seen in 27 (54%) patients, majority showed T2 hyperintense (23) and T1 hyperintense (23) signal intensities within thrombus, parenchymal involvement was seen in 29 (58%) patients out of which 15 (53%) patients showed diffusion restriction and contrast enhanced MRV showed filling defect in all 50 patients. Hence MRI with MRV is the current diagnostic modality of choice. Contrast enhanced MRV is 100% diagnostic modality.
