Diagnosis and treatment of traumatic cerebral venous sinus thrombosis
10.3760/cma.j.issn.1671-8925.2011.08.014
- VernacularTitle:外伤性颅内静脉窦血栓诊治体会
- Author:
Qi-Jun DENG
1
;
Xu-Xing LIAO
;
Wei-Jian ZHONG
;
Qing-Shun ZHAO
;
Xiu-Mei LUO
;
Hai-Bo LIN
;
Hai-Ping PENG
;
Li-Xiang LI
Author Information
1. 广东省佛山市第一人民医院
- Keywords:
Intracranial thrombosis;
Venous sinus;
Neurosurgery
- From:
Chinese Journal of Neuromedicine
2011;10(8):814-816
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the diagnosis and treatment of intracranial venous sinus thrombosis caused by trauma. Methods The clinical data of 13 patients had definite diagnosis by clinic and imaging, were analyzed retrospectively. Three patients received removal of hematoma and bone flap operation; 2 received anticoagulant therapy in early phase and intravenous thrombolysis; 2 accepted intrasinus interventional catheter-directed thrombolysis; ventriculoperitoneal shunt operation was performed in 1 patient for enjoying sub-optimal effects of conservative treatment; and the other 5 patients with transverse sinus embolism accepted conventional treatment for their symptom-free or having mild symptom. Results Intracranial venous sinus thrombosis caused by trauma was likely to locate in the superior sagittal sinus and transverse sinus; these patients mostly manifested as severe diffuse brain swelling combined with a fractured skull, epidural hematoma or intracerebral hematoma. Ten patients got clinical cure, 2 focal symptom and 1 mild mental retardation. Three days to 6 months after treatment, good results were noted in 8 patients performed DSA and in 5 patients performed MRV. Conclusion Early treatment should be given once the definite diagnosis is made in patients with intracranial venous sinus thrombosis caused by trauma, and anticoagulant and thrombolytic therapy are the main methods.
