Top

Published in:

01-08-2013 | Case-Based Update

Dural sinus and internal jugular vein thrombosis complicating a blunt head injury in a pediatric patient

Authors: André Beer-Furlan, César Cimonari de Almeida, Gustavo Noleto, Wellingson Paiva, Almir Andrade Ferreira, Manoel Jacobsen Teixeira

Published in: Child's Nervous System | Issue 8/2013

Abstract

Introduction

Cerebral venous sinus thrombosis (CVST) following a blunt head trauma is a rare condition, described in the literature along with the lack of consensus regarding diagnosis and management.

Case summary

We present a case of a pediatric patient with a blunt head injury and epidural hematoma, who developed dural sinus and internal jugular vein thrombosis with fatal outcome.

Discussion

Most of reports show good outcome and recovery, but CVST might be related to poor recovery and even lead to death. The diagnosis and management of this condition are discussed based on a literature review.

Conclusion

It is important to keep a high degree of suspicion of CVST since early diagnosis may prevent potentially treatable catastrophic outcomes.

Akhtar W (2010) Traumatic dural venous sinus thrombosis in high-risk acute blunt head trauma patients. Radiology 256:1014–1015PubMedCrossRef

Bagley CJR (1934) Traumatic longitudinal sinus lesions. Report of two cases. Gynecol Obstet 58:498–502

Bakar B, Tekkök IH. (2010) [Venous sinus thrombosis after closed head injury: case report] Ulus Travma Acil Cerrahi Derg 16:98–102. (Turkish).

Barbati G, Dalla Montà G, Coletta R, Blasetti AG (2003) Post-traumatic superior sagittal sinus thrombosis. Case report and analysis of the international literature. Minerva Anestesiol 69:919–925PubMed

Barron TF, Gusnard DA, Zimmerman RA, Clancy RR (1992) Cerebral venous thrombosis in neonates and children. Pediatr Neurol 8:112–116PubMedCrossRef

Bishop FS, Finn MA, Samuelson M, Schmidt RH (2009) Endovascular balloon angioplasty for treatment of posttraumatic venous sinus thrombosis. J Neurosurg 111:17–21PubMedCrossRef

Björnebrink J, Liliequist B (1976) Traumatic lateral sinus thrombosis. Report of two cases. Angiology 27:688–697PubMedCrossRef

Bousser MG, Chiras J, Bories J, Castaigne P (1985) Cerebral venous thrombosis: a review of 38 cases. Stroke 16:199–213PubMedCrossRef

Bousser MG, Ferro JM (2007) Cerebral venous thrombosis: an update. Lancet Neurol 6:162–170PubMedCrossRef

10.

Brors D, Schäfers M, Schick B, Dazert S, Draf W, Kahle G (2001) Sigmoid and transverse sinus thrombosis after closed head injury presenting with unilateral hearing loss. Neuroradiology 43:144–146PubMedCrossRef

11.

Caplan JM, Khalpey Z, Gates J (2008) Closed traumatic head injury: dural sinus and internal jugular vein thrombosis. Emerg Med J 25:777–778PubMedCrossRef

12.

Carrie AW, Jaffe FA (1954) Thrombosis of superior sagittal sinus caused by trauma without penetrating injury. J Neurosurg 11:173–182PubMedCrossRef

13.

Carvalho KS, Bodensteiner JB, Connolly PJ, Garg BP (2001) Cerebral venous thrombosis in children. J Child Neurol 16:574–580PubMed

14.

D’Alise MD, Fichtel F, Horowitz M (1998) Sagittal sinus thrombosis following minor head injury treated with continuous urokinase infusion. Surg Neurol 49:430–435PubMedCrossRef

15.

Dalgiç A, Seçer M, Ergüng RF, Okay O, Akdağ R, Ciliz D (2008) Dural sinus thrombosis following head injury: report of two cases and review of the literature. Turk Neurosurg 18:70–77PubMed

16.

Delgado Almandoz JE, Kelly HR, Schaefer PW, Lev MH, Gonzalez RG, Romero JM (2010) Prevalence of traumatic dural venous sinus thrombosis in high-risk acute blunt head trauma patients evaluated with multidetector CT venography. Radiology 255:570–577PubMedCrossRef

17.

Dobbs TD, Barber ZE, Squier WL, Green AL (2012) Cerebral venous sinus thrombosis complicating traumatic head injury. J Clin Neurosci 19:1058–1059PubMedCrossRef

18.

Erdogan B, Caner H, Aydin MV, Yildirim T, Kahveci S, Sen O (2004) Hemispheric cerebrovascular venous thrombosis due to closed head injury. Childs Nerv Syst 20:239–242PubMedCrossRef

19.

Ferrera PC, Pauze DR, Chan L (1998) Sagittal sinus thrombosis after closed head injury. Am J Emerg Med 16:382–385PubMedCrossRef

20.

Fujii Y, Tasaki O, Yoshiya K, Shiozaki T, Ogura H, Kuwagata Y, Sugimoto H, Sumi Y (2009) Evaluation of posttraumatic venous sinus occlusion with CT venography. J Trauma 66:1002–1006PubMedCrossRef

21.

Georgoulis G, Alexiou G, Prodromou N (2011) Sigmoid sinus thrombosis as a sequel of head injury in children and its management. World Neurosurg doi:10.1016/j.wneu.2011.11.006.

22.

Hesselbrock R, Sawaya R, Tomsick T, Wadhwa S (1985) Superior sagittal sinus thrombosis after closed head injury. Neurosurgery 16:825–828PubMedCrossRef

23.

Holzmann D, Huisman TA, Linder TE (1999) Lateral dural sinus thrombosis in childhood. Laryngoscope 109:645–651PubMedCrossRef

24.

Huisman TA, Holzmann D, Martin E, Willi UV (2001) Cerebral venous thrombosis in childhood. Eur Radiol 11:1760–1765PubMedCrossRef

25.

Kuether TA, O’Neill O, Nesbit GM, Barnwell SL (1998) Endovascular treatment of traumatic dural sinus thrombosis: case report. Neurosurgery 42:1163–1166PubMedCrossRef

26.

Kumar GS, Chacko AG, Chacko M (2004) Superior sagittal sinus and torcula thrombosis in minor head injury. Neurol India 52:123–124PubMed

27.

Lee WT, Wang PJ, Young C, Shen YZ (1995) Cerebral venous thrombosis in children. Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi 36:425–430PubMed

28.

Matsushige T, Nakaoka M, Kiya K, Takeda T, Kurisu K (2009) Cerebral sinovenous thrombosis after closed head injury. J Trauma 66:1599–1604PubMedCrossRef

29.

Meena AK, Jayalaxmi SS, Murthy JM (2000) Cortical sinovenous thrombosis following closed head injury. Neurol India 48:195–196PubMed

30.

Martin JP (1955) Signs of obstruction of the superior longitudinal sinus following closed head injuries (traumatic hydrocephalus). Br Med J 2:467–470PubMedCrossRef

31.

Medlock MD, Olivero WC, Hanigan WC, Wright RM, Winek SJ (1992) Children with cerebral venous thrombosis diagnosed with magnetic resonance imaging and magnetic resonance angiography. Neurosurg 31:870–876CrossRef

32.

Muthukumar N (2004) Cerebral venous sinus thrombosis and thrombophilia presenting as pseudo-tumour syndrome following mild head injury. J Clin Neurosci 11:924–927PubMedCrossRef

33.

Nehme J, Décarie JC, Saliba I (2009) Lateral sinus thrombosis: complication of minor head injury. Int J Pediatr Otorhinolaryngol 73:629–635PubMedCrossRef

34.

Owler BK, Besser M (2005) Extradural hematoma causing venous sinus obstruction and pseudotumor cerebri syndrome. Childs Nerv Syst 21:262–264PubMedCrossRef

35.

Ochagavia AR, Boque MC, Torre C, Alonso S, Sirvent JJ (1996) Dural venous sinus thrombosis due to cranial trauma. Lancet 347:1564PubMedCrossRef

36.

Peeters E, Stadnik T, Bissay F, Schmedding E, Osteaux M (2001) Diffusion- weighted MR imaging of an acute venous stroke: case report. Am J Neuroradiol 22:1949–1952PubMed

37.

Renowden S (2004) Cerebral venous sinus thrombosis. Eur Radiol 14:215–226PubMedCrossRef

38.

Rich C, Gill JC, Wernick S, Konkol RJ (1993) An unusual cause of cerebral venous thrombosis in a four-year-old child. Stroke 24:603–605PubMedCrossRef

39.

Röttger C, Trittmacher S, Gerriets T, Kaps M, Stolz E (2004) Sinus thrombosis after a jump from a small rock and a sneezing attack: minor endothelial trauma as a precipitating factor for cerebral venous thrombosis? Headache 44:812–815PubMedCrossRef

40.

Saad DF, Crawford GI, Wulkan ML (2005) Cerebral venous thrombosis after closed head injury in a child. J Trauma 58:1066–1067PubMedCrossRef

41.

Saadatnia M, Fatehi F, Basiri K, Mousavi SA, Mehr GK (2009) Cerebral venous sinus thrombosis risk factors. Int J Stroke 4:111–123PubMedCrossRef

42.

Satoh H, Kumano K, Ogami R, Nishi T, Onda J, Nishimura S, Kurisu K (2000) Sigmoid sinus thrombosis after mild closed head injury in an infant: diagnosis by magnetic resonance imaging in the acute phase case report. Neurol Med Chir (Tokyo) 40:361–365CrossRef

43.

Shigemori Y, Koshinaga M, Suma T, Nakamura S, Murata Y, Kawamata T, Katayama Y (2007) Jugular bulb venous thrombosis caused by mild head injury: a case report. Surg Neurol 68:660–664PubMedCrossRef

44.

Stiefel D, Eich G, Sacher P (2000) Posttraumatic dural sinus thrombosis in children. Eur J Pediatr Surg 10:41–44PubMedCrossRef

45.

Taha JM, Crone KR, Berger TS, Becket WW, Prenger EC (1993) Sigmoid sinus thrombosis after closed head injury in children. Neurosurg 32:541–546CrossRef

46.

Yuen HW, Gan BK, Seow WT, Tan HKK (2005) Dural sinus thrombosis after minor head injury in a child. Ann Acad Med Singap 34:639–641PubMed

47.

Zhao X, Rizzo A, Malek B, Fakhry S, Watson J (2008) Basilar skull fracture: a risk factor for transverse/sigmoid venous sinus obstruction. J Neurotrauma 25:104–111PubMedCrossRef

Title: Dural sinus and internal jugular vein thrombosis complicating a blunt head injury in a pediatric patient
Authors: André Beer-Furlan
César Cimonari de Almeida
Gustavo Noleto
Wellingson Paiva
Almir Andrade Ferreira
Manoel Jacobsen Teixeira
Publication date: 01-08-2013
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 8/2013
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-013-2184-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Dural sinus and internal jugular vein thrombosis complicating a blunt head injury in a pediatric patient

Abstract

Introduction

Case summary

Discussion

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Case summary

Discussion

Conclusion

Please log in to get access to this content

Other articles of this Issue 8/2013

Giant-cell glioblastoma of childhood associated with HIV-1 and JC virus coinfection

A complicated case of plagiocephaly followed by delayed craniosynostosis

Somatostatin receptor subtype 2 (sst2) is a potential prognostic marker and a therapeutic target in medulloblastoma

A new technique to facilitate optimal directions for cranial distractor implantation

Endoscopic transaqueductal or interventricular stent placement for the treatment of isolated fourth ventricle and pre-isolated fourth ventricle

Brain stem tumors in children and adolescents: single institutional experience