Intracranial Hypertension due to Cerebral Venous Sinus Thrombosis following Head Trauma: A Report of Two Cases

• Main Authors: Peter Lindvall, Lars-Owe D. Koskinen
• Format: Article
• Language: English
• Published: Karger Publishers 2013-09-01
• Series: Case Reports in Neurology
• Subjects: Thrombectomy; Head trauma; Cerebral venous sinus thrombosis; Intracranial hypertension; Decompressive craniectomy
• Online Access: http://www.karger.com/Article/FullText/355394

Cerebral venous sinus thrombosis (CVST) may occur following head trauma and contribute to intracranial hypertension that mandates immediate action. Anticoagulant therapy is the first line of treatment in CVST but may not be applicable in patients with head trauma. Here, we report on the treatment of 2 patients with CVST. In 1 patient, there was an attempt to perform thrombectomy and thrombolysis, and eventually a decompressive craniectomy was performed. In this patient, there was an excellent outcome. In the other patient, an immediate decompressive craniectomy was performed that did not improve the outcome.