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So TY, Dixon A, Kavnoudias H, Paul E, Maclaurin W. Traumatic dural venous sinus gas predicts a higher likelihood of dural venous sinus thrombosis following blunt head trauma. J Med Imaging Radiat Oncol 2019; 63:311-317. [DOI: 10.1111/1754-9485.12865] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2018] [Accepted: 02/05/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Tiffany Y So
- Department of Radiology Alfred Hospital Melbourne Victoria Australia
| | - Andrew Dixon
- Department of Radiology Alfred Hospital Melbourne Victoria Australia
| | - Helen Kavnoudias
- Department of Radiology Alfred Hospital Melbourne Victoria Australia
| | - Eldho Paul
- Department of Epidemiology and Preventive Medicine Monash University Melbourne Victoria Australia
| | - William Maclaurin
- Department of Radiology Alfred Hospital Melbourne Victoria Australia
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Thrombus in Transit: A Potentially Life-threatening Complication of Cerebral Sinus Thrombosis. Neurologist 2016; 22:21-23. [PMID: 28009768 DOI: 10.1097/nrl.0000000000000094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
We report the case of a 41-year-old, 7-weeks-pregnant patient, presenting with headache and generalized seizure due to cerebral venous thrombosis complicated by jugular thrombosis and thrombus dislocation into right cardiac cavities. The patient was treated with intravenous heparin, and underwent embolectomy in extracorporeal circulation. This case illustrates the variability of cerebral venous thrombosis progression and a potentially life-threatening condition even during anticoagulant therapy.
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Cerebral Venous Air Embolism due to a Hidden Skull Fracture Secondary to Head Trauma. Case Rep Neurol Med 2015; 2015:730808. [PMID: 26693366 PMCID: PMC4674590 DOI: 10.1155/2015/730808] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2015] [Accepted: 11/15/2015] [Indexed: 11/18/2022] Open
Abstract
Cerebral venous air embolism is sometimes caused by head trauma. One of the paths of air entry is considered a skull fracture. We report a case of cerebral venous air embolism following head trauma. The patient was a 55-year-old man who fell and hit his head. A head computed tomography (CT) scan showed the air in the superior sagittal sinus; however, no skull fractures were detected. Follow-up CT revealed a fracture line in the right temporal bone. Cerebral venous air embolism following head trauma might have occult skull fractures even if CT could not show the skull fractures.
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Meng R, Ji X, Wang X, Ding Y. The etiologies of new cases of cerebral venous sinus thrombosis reported in the past year. Intractable Rare Dis Res 2012; 1:23-6. [PMID: 25343068 PMCID: PMC4204591 DOI: 10.5582/irdr.2012.v1.1.23] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2011] [Revised: 01/28/2012] [Accepted: 02/06/2012] [Indexed: 11/05/2022] Open
Abstract
Cerebral venous sinus thrombosis (CVST) is an uncommon but life-threatening stroke subtype with extremely diverse clinical features, predisposing factors, brain imaging findings, and outcomes. Its predominant etiologies were known to be otomastoid, orbit, and central face cutaneous infections, pregnancy and complications associated with the postpartum period, and oral contraceptives. In recent years, however, infections have accounted for fewer cases while oral contraceptives, pregnancy and complications associated with the postpartum period, tumors, and coagulopathies have accounted for more cases of CVST. These conditions have become the predominant risk factors for CVST, but uncommon etiologies have also emerged. This review focuses on the new etiologies of CVST cases reported this year to broaden perspectives on the etiologies of CVST.
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Affiliation(s)
- Ran Meng
- Department of Neurology, Beijing Shijitan Hospital affiliated Capital Medical University, The Ninth Clinical Medical College of Peking University, Beijing, China
- Department of Neurosurgery, Cerebral Vascular Diseases Research Institute (China-America Joint Institute of Neuroscience), Xuanwu Hospital, Capital Medical University, Key Lab of Neurodegenerative Diseases of Ministry of Education, Beijing, China
- Deepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Xunming Ji
- Department of Neurosurgery, Cerebral Vascular Diseases Research Institute (China-America Joint Institute of Neuroscience), Xuanwu Hospital, Capital Medical University, Key Lab of Neurodegenerative Diseases of Ministry of Education, Beijing, China
- Address correspondence to: Dr. Xunming Ji, Cerebrovascular Diseases Research Institute (China-America Joint Institute of Neuroscience), Xuanwu Hospital, Capital Medical University, Beijing 100053, China. E-mail:
| | - Xiaoying Wang
- Deepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Yuchuan Ding
- Department of Neurosurgery, Cerebral Vascular Diseases Research Institute (China-America Joint Institute of Neuroscience), Xuanwu Hospital, Capital Medical University, Key Lab of Neurodegenerative Diseases of Ministry of Education, Beijing, China
- Department of Neurosurgery, Wayne State University School of Medicine, Detroit, MI, USA
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