Management and outcome of cerebral venous thrombosis after head trauma: A case series

Revue neurologique
L GrangeonA Triquenot

Abstract

Cerebral venous thrombosis (CVT) is an underdiagnosed complication of head trauma. To date, initiation of anticoagulation is still a matter of debate because of the risk of worsening traumatic hemorrhage. This report describes a case series of five patients admitted for head injury complicated by CVT. The main associated radiological signs were skull fractures crossing the venous sinus and adjacent traumatic hematoma. In four patients, anticoagulation was introduced within 48-72h of CVT diagnosis, with no subsequent hemorrhagic complications. The present report and data from the literature raise the question of systematic additional venoscans when confronted by associated radiological features of post-traumatic CVT. The safety of anticoagulation in selected patients is also discussed.

References

Feb 21, 2004·Stroke; a Journal of Cerebral Circulation·José M FerroUNKNOWN ISCVT Investigators
Apr 11, 2009·The Journal of Trauma·Yoshiyuki FujiiYuka Sumi
Apr 21, 2010·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·K EinhäuplUNKNOWN European Federation of Neurological Societies
Feb 28, 2014·Acta neurochirurgica·Mark A RivkinSarah I Woodrow
Aug 12, 2014·Pediatric Blood & Cancer·Frederico XavierMahendranath D Moharir

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Citations

Sep 11, 2019·The Journal of Craniofacial Surgery·Xuefei ShaoXiaochun Jiang
Jul 5, 2021·Acta neurochirurgica·Lauren HarrisGrainne S McKenna

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