Cerebral sinus venous thrombosis in traumatic brain injury

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

Abstract

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.

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Author Biography

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

Anaesthesiology