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Sinus Thrombosis After a Jump From a Small Rock and a Sneezing Attack: Minor Endothelial Trauma as a Precipitating Factor for Cerebral Venous Thrombosis?
Author(s) -
Röttger Carina,
Trittmacher Susan,
Gerriets Tibo,
Kaps Manfred,
Stolz Erwin
Publication year - 2004
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.2004.04150.x
Subject(s) - medicine , superior sagittal sinus , headaches , thrombosis , head trauma , straight sinus , venous thrombosis , risk factor , magnetic resonance imaging , surgery , head injury , radiology , cerebral veins , anesthesia
Cerebral venous thrombosis (CVT) associated with minor or trivial head trauma has only been described in a few cases so far. We report two patients who developed CVT after a sudden intracranial pressure increase and head acceleration. A 49‐year‐old woman jumped from a small rock, 1 m in height, and developed instantaneous occipital headaches. Magnetic resonance imaging (MRI) confirmed confluens sinuum thrombosis. Risk factors consisted of smoking and oral contraceptives. Our second patient, an 18‐year‐old woman, experienced instantaneous headaches after a sneezing attack. Superior sagittal and right‐sided transverse sinus thrombosis were confirmed by venous computed tomography angiography. She took oral contraceptives as an additional risk factor. In about 20% of CVT cases the cause remains unclear. As minor head trauma may not have been recognized during history taking, this may represent a so far under‐recognized precipitating factor for CVT.