Delayed acute onset post traumatic sigmoid sinus/cerebral venous thrombosis
DOI:
https://doi.org/10.18203/2349-2902.isj20174638Keywords:
Delayed acute onset, Post traumatic, Sinus thrombosisAbstract
Post traumatic Sinus/cerebral venous thrombosis is a rare entity. A high index of suspicion is required as the prognosis is poor in this clinical setting, in view of the effects of the head injury. We report 2 cases of the patient worsening acutely after initial recovery from trauma. The etiology and pathogenesis in such cases are varied and hypothetical with no definite underlying cause identified. Cerebral venous thrombosis (CVT) as an etiology of headache is not always easy to diagnose unless suspected, and in any patient with head injury and delayed deterioration after initial recovery, post traumatic Cerebral venous thrombosis should be kept as a differential diagnosis.
References
Stam J. Thrombosis of the cerebral veins and sinuses. N Eng J Med. 2005;352:1791-8.
Meena AK, Jayalaxmi SS, Murthy JM. Cortical sinovenous thrombosis following closed head injury. Neurol India. 2000;48:195-6.
Pathak A, Dutta S, Marwaha N, Singh D, Varma N, Mathuriya SN. Change in tissue thromboplastin content of brain following trauma. Neurol India. 2005;53:178-82.
Lee S, Brugge K G. Cerebral venous thrombosis in adults: The role of imaging evaluation and management. Neuroimag Clin N Am 2003;13:139-52.
Moiyadi AV, Devi BI. Post-traumatic non-sinus cerebral venous thrombosis. Indian Journal of Neurotrauma. 2006;3(2):143-6.
de Bruijn SF, de Haan RJ, Stam J. Clinical features and prognostic factors of cerebral venous sinus thrombosis in a prospective series of 59 patients. J Neurol Neurosurg Psychiat. 2001;70:105-8.
Kumar GSS, Chacko AG, Joseph M. Superior sagittal sinus and torcula thrombosis in minor head injury. Neurol India. 2004;52:123-4.
D’Alise MD, Frank FF, Horowitz. Sagittal sinus thrombosis following minor head injury treated with continuous urokinase infusion. Surg Neurol. 1998;49:430-5.
Provenzale JM, Kranz PG. Dural sinus thrombosis: sources of error in image interpretation. AJR Am J Roentgenol. 2011;196(1):23-31.
Wiggins AC. Transverse and sigmoid sinus thrombosis after traumatic brain injury. IJCRI. 2013;4(11):660-2.