Early Spontaneous Recanalization of Sigmoid Sinus Thrombosis Following a Closed Head Injury in a Pediatric Patient : A Case Report and Review of Literature.
10.3340/jkns.2015.58.2.150
- Author:
Jung Ho YUN
1
;
Jung Ho KO
;
Mee Jeong LEE
Author Information
1. Department of Neurological Surgery, Dankook University College of Medicine, Cheonan, Korea. dkns0212@naver.com
- Publication Type:Case Report
- Keywords:
Head trauma;
Sigmoid sinus thrombosis;
Pediatric;
Recanalization
- MeSH:
Brain;
Child;
Colon, Sigmoid*;
Craniocerebral Trauma;
Diagnosis;
Head Injuries, Closed*;
Headache;
Hematoma;
Humans;
Jugular Veins;
Magnetic Resonance Imaging;
Male;
Nausea;
Phlebography;
Pneumocephalus;
Sinus Thrombosis, Intracranial*;
Skull;
Vomiting
- From:Journal of Korean Neurosurgical Society
2015;58(2):150-154
- CountryRepublic of Korea
- Language:English
-
Abstract:
Cerebral venous sinus thrombosis (CVST) following a closed head injury in pediatric patients is a rare condition, and an early spontaneous recanalization of this condition is extremely rare. A 10-year-old boy was admitted with a mild, intermittent headache and nausea five days after a bicycle accident. The brain computed tomography showed an epidural hematoma at the right occipital area with pneumocephalus due to a fracture of the occipital skull bone. The brain magnetic resonance imaging and the magnetic resonance venography demonstrated a flow signal loss from the right sigmoid sinus to the right jugular vein. The diagnosis was sigmoid sinus thrombosis, so close observations were selected as a treatment for the patient because of his gradually improving symptoms; however, he complained of vomiting 14 days the after conservative treatment. The patient was readmitted for a further examination of his symptoms. The laboratory and the gastroenterological examinations were normal. Due to concern regarding the worsening of the sigmoid sinus thrombosis, the brain magnetic resonance venography was rechecked and it revealed the recanalization of the venous flow in the sigmoid sinus and in the jugular vein.
