Cerebral sinus venous thrombosis in traumatic brain injury

Main Article Content

Christina Mueller-Hoecker *
Urs Pietsch
(*) Corresponding Author:
Christina Mueller-Hoecker | christina.muellerhoecker@googlemail.com


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.

Downloads month by month


Download data is not yet available.

Article Details

Author Biography

Christina Mueller-Hoecker, Klinik für Anästhesiologie, Intensiv-, Rettungs- und Schmerzmedizin, St. Gallen