Open AccessCerebral sinus venous thrombosis in traumatic brain injury
Author(s) -
Christina Mueller-Hoecker,
Urs Pietsch
Publication year - 2016
Publication title -
emergency care journal
Language(s) - English
Resource type - Journals
eISSN - 2282-2054
pISSN - 1826-9826
DOI - 10.4081/ecj.2016.5441
Subject(s) - medicine , traumatic brain injury , thrombosis , head injury , head trauma , intracranial pressure , venous thrombosis , surgery , anesthesia , decompressive craniectomy , sinus (botany) , psychiatry , botany , biology , genus
A 36-year-old, healthy man was admitted to the emergency department with a traumatic brain injury with an injury severity score of 25 points. The head computed tomography revealed a subarachnoidal, epidural hemorrhage as well as a fracture of the occipital calotte. Intracranial pressure (ICP) management was installed according to the LUND concept. In the following scan an angiography revealed a thrombosis of the sinus sigmoideus and transversus. Located next to the fractured skull, the thrombosis was highly likely traumatic, caused by the head trauma. As there was only a little congestion of the blood flow, no lysis or thrombectomy was performed. To lower ICP, a craniectomy was performed. After seven days, mechanical ventilation was terminated. Four days later the patient was already stable enough to be discharged from the surgical itensive care unit