Highlights
- •Traumatic dural venous sinus thrombosis complicates treatment of head injury patients.
- •Decision to anti-coagulate traumatic venous sinus thrombosis is controversial.
- •Anticoagulation decision is guided by interval repeat CT venograms and clinical picture.
- •Anticoagulation guided by presence of thrombus propagation and other intracranial injuries.
Abstract
Venous sinus thrombosis secondary to traumatic brain injury and head trauma is increasingly
detected following contrast enhanced cranial imaging in acute trauma. The presence
of sinus thrombosis poses further challenges in the management of traumatic brain
injury patients with cerebral contusions, intraparenchymal haemorrhages or subdural/extradural
haemorrhages. The decision to anti-coagulate such trauma induced venous sinus thrombosis
is controversial and requires further attention and research to delineate risks versus
benefits of treatment. In this article we report 4 cases of venous sinus thrombosis
following head trauma and review the literature on management of such patients.
Abbreviations:
CTV (Computed Tomography Venogram), EVD (external ventricular drain), ICP (intracranial pressure), MRV (magnetic resonance venogram), MRI (Magnetic Resonance Imaging)Keywords
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Article info
Publication history
Published online: August 28, 2018
Accepted:
August 19,
2018
Received:
February 23,
2018
Identification
Copyright
© 2018 Elsevier Ltd. All rights reserved.
