Cerebral venous sinus thrombosis complicating traumatic head injury

Dobbs, Thomas D.; Barber, Zoe; Squier, Waney; Green, Alexander L.

doi:10.1016/j.jocn.2012.01.002

Cited by 29 publications

(16 citation statements)

References 3 publications

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“…The explanation might be that this medication is not used on a wide scale by our female population as a contraceptive measure. Studies made in countries from the Middle East had the same percentage of patients using oral contraceptives as we found in our study [5,14,16,[17][18][19][20][21][22]56,57].…”

Section: Discussionsupporting

confidence: 83%

“…The implications of genetic and some behaviour factors explain the different aetiologies found in different ethnic Correspondence to: Rodica Bălaşa E-mail: iipascu@redatronic.ro and population groups. These differenced determined us to look carefully in our CVT patient group [1,2,9,10,[17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Risk factors and diagnosis of cerebral venous thrombosis: Data from a cohort of 45 Romanian patients

Bălaşa

Daboczi

Costache

et al. 2014

Acta Medica Marisiensis

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Cerebral venous thrombosis (CVT) represents 1% of the total stroke pathology but is a real challenge both regarding the diagnosis and the treatment. Objective: Evaluate different etiological, demographical, clinical, imaging and therapeutic aspects of CVT. Material: Prospective study during 4 years. From the total 3658 patients hospitalized with acute stroke, 45 (1.23%) had CVT. For each patient, were recorded: demographic data, symptom of onset, type of onset, daily habits, medical history, neurological examination, brain imaging (CT and MRI with venography). Statistical analysis: data are presented as mean and SD and Student t test was applied. Results: Mean age was 44.07± 23,12 years; female: male ratio 2.21:1. The most frequent type of onset was acute (77.78%). Headache was found in 80% of cases as initial symptom, followed by neurological focal deficits. As risk factors, thrombophilia was found most often (59.5%), followed by local infections. No risk factors were found in 17.8% of cases. The brain imaging was positive in 29 patients. In 16 cases, the imaging workout was negative and the diagnosis consisted of clinical criteria, risk factors, response to heparin treatment. Conclusions: CVT is a rare pathology that affects mainly young women and that needs a complex diagnostic evaluation. The patient prototype diagnosed with CVT in our region: female of 44 years old, with an intense acute headache, with MRI showing direct signs of transverse sinus thrombosis, with a thrombophilic state and good response to anticoagulants. Brain MRI is the imaging investigation required but clinical aspects play a decisive role.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Risk factors and diagnosis of cerebral venous thrombosis: Data from a cohort of 45 Romanian patients

Bălaşa

Daboczi

Costache

et al. 2014

Acta Medica Marisiensis

View full text Add to dashboard Cite

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“…Persistent giddiness or vomiting [8] 6. Late deterioration in a patient's clinical condition [9] This study underscores the importance of interpreting brain CT in patients with traumatic head injury, particularly those with the red flag signs as mentioned above. DVST, if left alone, can lead to morbidity and mortality owing to an increased intracranial pressure secondary to venous infarct.…”

Section: Discussionmentioning

confidence: 55%

Pediatric dural venous sinus thrombosis following closed head injury: an easily overlooked diagnosis with devastating consequences

Das

Sapkota²,

Shrestha³

2018

Ulus Travma Acil Cerrahi Derg

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Dural venous sinus thrombosis (DVST) is an uncommon finding after traumatic brain injury. The diagnosis can often be initially missed, particularly if not associated with an overlying fracture. Pediatric DVST following closed head injury and without an overlying fracture is very rare, with only 20 cases reported in the literature to date. Here we present the case of a 19-month-old boy who presented with a history of trivial fall and an episode of fever. On presentation, the pediatric Glasgow Coma Scale (pGCS) score was E3V4M6, and initial brain computed tomography (CT) was normal. He was initially conservatively managed. However, subsequent CT, taken following an episode of seizure, revealed right tentorial subarachnoid hemorrhage and falx hematoma. Conservative management was continued till he started developing recurrent seizures with a decrease in pGCS scores. Repeat CT revealed sinus thrombosis that involved the posterior aspect of the superior sagittal sinus with a massive brain edema. The coagulation profile was normal, and no fracture overlying the sinus was observed. Although he underwent emergency bifrontal decompressive craniotomy, he did not recover. This study emphasizes on the importance of not missing the diagnosis of sinus thrombosis and the devastating consequences that can occur if it is overlooked.

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“…Dobbs et al presented a case of traumatic extradural hematoma successfully evacuated and then the patient deteriorated and died because of CVST. They concluded that CVST is a rare important cause of deterioration in posttraumatic head injury [7].…”

Section: Discussionmentioning

confidence: 99%