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Post-traumatic cerebral venous sinus thrombosis associated with epidural hematoma: A challenging clinical situation

P Isan1, L Mondot2, B Casolla3

  • 1Department of Neurosurgery, Pasteur 2 Hospital, CHU de Nice, Nice, France; Université Côte d'Azur, Nice, France.

Neuro-Chirurgie
|March 9, 2022
PubMed

Post-traumatic cerebral venous sinus thrombosis (ptCVST) is often associated with brain hemorrhage; consequently, the anticoagulation may be challenging. We report the case of a 42-year-old man who presented with post-traumatic epidural hematoma and rapidly developed transverse sinus thrombosis extending to the internal jugular vein. As the patient was asymptomatic, we decided not to use anticoagulants: close clinical and radiological monitoring was implemented. The hematoma resolved within 2 months, and the CVST diminished by the third month. Such a good outcome is not always the case in ptCVST. The present article also discusses pathophysiological mechanisms and treatment options when hematoma is associated with ptCVST.

Keywords:
AnticoagulationBlunt head traumaCerebral venous sinus thrombosisEpidural hematomaHemorrhageHématome extraduralHémorragiePost-traumaticPost-traumatiqueThrombose du sinus veineuxTraumatisme crânien

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