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Superior sagittal sinus thrombosis after internal jugular vein cannulation
P H Stephens1, G Lennox, N Hirsch
1National Hospital for Neurology and Neurosurgery, London.
British Journal of Anaesthesia
|October 1, 1991
Summary
Cerebral venous sinus thrombosis is a rare complication following central venous catheterization. This case highlights the importance of recognizing and managing this condition to prevent increased intracranial pressure.
Area of Science:
- Neurology
- Vascular Surgery
- Critical Care Medicine
Background:
- Central venous cannulation is a common medical procedure.
- Complications, though rare, can arise from central venous catheter placement.
- Cerebral venous sinus thrombosis (CVST) is an under-recognized complication.
Observation:
- A patient developed left internal jugular vein thrombosis 4 days post-catheter removal.
- Symptoms of increased intracranial pressure manifested despite anticoagulation therapy.
- Superior sagittal sinus thrombosis was diagnosed subsequently.
Findings:
- Cerebral venous sinus thrombosis occurred after a 5-day central venous catheter dwell time.
- Anticoagulation did not prevent the progression to superior sagittal sinus thrombosis.
- The case underscores a potential link between central venous cannulation and CVST.
Implications:
- Early recognition and diagnosis of CVST post-cannulation are crucial.
- Management strategies for CVST require careful consideration.
- This case contributes to understanding the etiology and clinical course of this uncommon complication.