Abstract:
RATIONALE:Deep cerebral venous thrombosis (DCVT) is a rare disease, but always results in poor prognosis. PATIENT CONCERNS:We reported a 79-year-old female with coma after traumatic brain injury (TBI). DIAGNOSIS:The epidural hematoma was first diagnosed on non-contrast computerized tomography (CT). The hypodense areas in bilateral thalami and basal ganglia on reexamination CT highly indicated the suspicion of DCVT. Finally, the appearance of thrombosis of the vein of Galen on the computed tomography venography (CTA) and digital subtraction angiography (DSA) confirmed the diagnosis. INTERVENTIONS:The patients received surgery to remove the epidural hematoma. After that, she was treated with oral anticoagulation agent (low molecular weight heparin (LMWH), 180 Axal U/kg 24 h) for 4 weeks, shifted by oral warfarin (2.5 mg qd) for 4 weeks. OUTCOMES:The hypodense areas in bilateral thalami and basal ganglia have been largely reversed. At the time of 6 months after surgery, the patient could take care of herself. LESSONS:If the CT shows hypodense areas in bilateral thalami and basal ganglia, a diagnosis of DCVT should be suspected once the patients could not recover from the treatment of primary diseases.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Zheng H,Xu W,Chen Y,Gai S,Chen Gdoi
10.1097/MD.0000000000011587subject
Has Abstractpub_date
2018-09-01 00:00:00pages
e11587issue
36eissn
0025-7974issn
1536-5964pii
00005792-201809070-00002journal_volume
97pub_type
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