Sigmoid and transverse sinus thrombosis after closed head injury presenting with unilateral hearing loss.

Abstract:

:Sinus thrombosis has rarely been associated with closed head injury; more often, thrombosis of the sigmoid or transverse sinus is caused by otogenic inflammations or tumours, or occurs during pregnancy. Symptoms are frequently vague, while untreated thrombus progression may be fatal due to venous congestion and infarction. We report a 32-year-old man presenting with right hearing loss, tinnitus and headache 2 days after a closed head injury. Neurological examination showed no additional abnormality. The EEG showed focal bifrontal slowing. CT revealed a fracture of the occipital bone. MRI and MRA demonstrated complete thrombosis of the right sigmoid and transverse sinuses. After 2 weeks of intravenous heparin therapy followed by warfarin, the patient's hearing improved and MRI and MRA showed complete recanalisation of the sigmoid and transverse sinuses. Venous sinus thrombosis can be an undetected sequel to head injury. Appropriate imaging studies should be carried out to enable therapy to be started as soon as possible.

journal_name

Neuroradiology

journal_title

Neuroradiology

authors

Brors D,Schäfers M,Schick B,Dazert S,Draf W,Kahle G

doi

10.1007/pl00006045

subject

Has Abstract

pub_date

2001-02-01 00:00:00

pages

144-6

issue

2

eissn

0028-3940

issn

1432-1920

journal_volume

43

pub_type

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