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Cerebral venous sinus thrombosis complicated by subdural hematomas: Case series and literature review

Paul T Akins1, Yekaterina K Axelrod, Cheng Ji

  • 1Department of Neurosurgery, Permanente Medical Group, Kaiser Sacramento Medical Center, Sacramento, CA 95825.

Surgical Neurology International
|July 23, 2013
PubMed

Insights

Cerebral venous sinus thrombosis (CVST) can cause subdural hematoma (SDH). This study reviews cases and literature, highlighting CVST as a potential cause of SDH and discussing individualized treatment approaches.

Area of Science:

  • Neurology
  • Neurosurgery
  • Vascular Neurology

Background:

  • Cerebral venous sinus thrombosis (CVST) is a condition that can lead to serious neurological complications.
  • While typically associated with elevated intracranial pressure and venous infarcts, CVST's presentation can be varied.
  • This study explores the less common association between CVST and subdural hematoma (SDH).

Observation:

  • A case series identified three patients with CVST presenting with spontaneous subdural hematoma (SDH) over a six-year period.
  • Patient presentations included SDH with hemorrhagic venous infarct, SDH requiring craniotomy, and recurrent SDH.
  • Literature review indicated limited previous reports of SDH complicating CVST.

Findings:

  • Cerebral venous sinus thrombosis (CVST) can manifest as subdural hematoma (SDH), with or without associated venous infarctions.
  • Treatment for CVST-associated SDH requires individualized approaches based on patient presentation.
  • Endovascular thrombectomy was successfully used for recurrent symptomatic SDH secondary to CVST in one described case.

Implications:

  • Recognizing CVST as a potential cause of subdural hematoma is crucial for accurate diagnosis and management.
  • Individualized treatment strategies are necessary for patients with CVST and SDH.
  • This work highlights endovascular thrombectomy as a potential treatment option for complex cases of CVST-induced SDH.
Abstract

Keywords:
Cerebral sinus thrombosiscerebral venous thrombosisembolectomypolycythemia verastrokesubdural hematoma

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