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Straight sinus thrombosis during neurosurgical operation
Hiroto Kawano1, Naoki Nitta1, Kazuhiko Nozaki1
1Department of Neurosurgery, Shiga University of Medical Science, Otsu, Shiga, Japan.
Surgical Neurology International
|May 24, 2016
Summary
Straight sinus thrombosis is a rare complication after surgery. This case highlights its potential occurrence in patients with unexplained neurological deficits post-operation, especially when brain imaging shows specific abnormalities.
Area of Science:
- Neurosurgery
- Neurology
- Radiology
Background:
- Perioperative straight sinus thrombosis is an exceptionally rare clinical event.
- Cerebral aneurysms require surgical intervention, carrying inherent risks.
Observation:
- A patient developed delayed emergence, aphasia, and hemiparesis after cerebral aneurysm clipping.
- Brain imaging revealed hyperintensity in basal ganglia/thalami on FLAIR MRI and a hyperdense straight sinus on CT, indicative of thrombosis.
Findings:
- The patient experienced gradual neurological improvement and full clinical recovery.
- Follow-up imaging confirmed recanalization of the straight sinus.
Implications:
- Consider straight sinus thrombosis in postoperative patients with unexplained neurological deficits.
- FLAIR MRI showing basal ganglia and thalamic hyperintensity is a key diagnostic clue.
- Prompt diagnosis and management can lead to favorable outcomes, including sinus recanalization.
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