Sagittal sinus thrombosis after closed head injury

• Published in: The American journal of emergency medicine Vol. 16; no. 4; pp. 382 - 385
• Main Authors: Ferrera, Peter C, Pauze, Denis R, Chan, Lisa
• Format: Journal Article
• Language: English
• Published: Philadelphia, PA Elsevier Inc 01.07.1998; Elsevier
• Subjects: Adult; Anticoagulants - therapeutic use; Biological and medical sciences; Cerebral Angiography; Craniocerebral Trauma - complications; Fibrinolytic Agents - therapeutic use; Humans; Injuries of the nervous system and the skull. Diseases due to physical agents; Magnetic Resonance Imaging; Male; Medical sciences; Prognosis; Sinus Thrombosis, Intracranial - diagnostic imaging; Sinus Thrombosis, Intracranial - drug therapy; Sinus Thrombosis, Intracranial - etiology; Superior sagittal sinus; thrombosis; Tomography, X-Ray Computed; Traumas. Diseases due to physical agents; traumatic; traumatic; Superior sagittal sinus; thrombosis; Human; Nervous system diseases; Radiodiagnosis; Angiography; Craniocerebral; Diseases of the osteoarticular system; Cardiovascular disease; Male; Nuclear magnetic resonance imaging; Thrombosis; Trauma; Cerebral disorder; Venous disease; Vascular disease; Case study; Central nervous system disease; Young adult; Skull disease; Medical imagery; Complication; Cranial venous sinus; Diagnosis; Cerebrovascular disease
• ISSN: 0735-6757; 1532-8171
• DOI: 10.1016/S0735-6757(98)90134-6

Superior sagittal sinus thrombosis (SSST) is an unusual disorder, most often attributed to hematological abnormalities, oral contraceptive use, or association with the puerperium. Although SSST secondary to trauma has been reported, it still remains an extremely rare entity. Antemortem diagnosis of SSST is made by findings on computed tomographic scanning, cerebral angiography, or magnetic resonance imaging. Prognosis is variable and spontaneous resolution has been reported. Successful treatment options of spontaneous cases include systemic anticoagulation and thrombolytic therapy along with supportive measures. There are currently no guidelines for the management of SSST associated with traumatic brain injury. This report describes a case of SSST in a man who sustained a closed head injury.