TY - JOUR AU - Mueller-Hoecker, Christina AU - Pietsch, Urs PY - 2016/04/14 Y2 - 2024/03/28 TI - Cerebral sinus venous thrombosis in traumatic brain injury JF - Emergency Care Journal JA - Emerg Care J VL - 1 IS - 1 SE - Case Reports DO - 10.4081/ecj.2016.5441 UR - https://www.pagepressjournals.org/ecj/article/view/ecj.2016.5441 SP - AB - 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. ER -