Superior sagittal sinus thrombosis followed by subdural hematoma

doi:10.1016/0090-3019(82)90394-9

Surgical Neurology

Volume 18, Issue 3, September 1982, Pages 206-211

https://doi.org/10.1016/0090-3019(82)90394-9 Get rights and content

Abstract

A case of superior sagittal sinus thrombosis followed by a subdural hematoma is reported. A 33-year-old woman, who presented with serious neurological deficits, made a remarkable recovery with mild residual. She had a thin subdural fluid collection, which eventually developed into a subdural hematoma. After evacuation of the hematoma, she had no neurological deficits. Treatment of cerebral venous and dural sinus thrombosis is discussed.

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Citation Excerpt :
Intracranial hypotension caused by cerebrospinal fluid (CSF) leak following cranial, spinal, or paranasal sinus surgery is another uncommon cause of atraumatic subdural hematoma.12,13 Additional rare causes of subdural hematoma include hyponatremic dehydration and dural venous sinus thrombosis.14–20 In rare circumstances the subdural hematoma is caused by injury to a cortical artery or ruptured vascular lesion, such as an aneurysm or vascular malformation (Fig. 1).21–26
Alterations in the intracranial venous sinuses in spontaneous nontraumatic chronic subdural hematomas
2013, Journal of Clinical Neuroscience
Citation Excerpt :
There are reports of cerebral venous sinus thrombosis associated with CSH,1–5 in which the CSH was removed from three patients by introducing burr holes and performing a craniotomy.1,2,4 By contrast, one patient was treated medically,3 and urokinase or heparin was used to resolve the venous thrombosis.1,3–5 The formation of a subdural hematoma in patients with venous thrombosis is associated with increased venous and capillary pressure.11
Occlusion of the cerebral venous system is frequently associated with intraparenchymal or subarachnoid hemorrhage. There are few reports of cerebral venous thrombosis associated with nontraumatic chronic subdural hematoma (CSH). We aimed to evaluate the intracranial venous system in patients with spontaneous nontraumatic CSH and to identify alterations in their venous sinuses. In this study, eight patients with spontaneous, nontraumatic CSH were followed for a 7-year period (mean: 2.2 years, range: 1–7 years). Neuroradiological images were taken at the onset of symptoms and during follow-up. Venous angiography or magnetic resonance venography was used to evaluate the cerebral venous system of patients. In all patients, medical or surgical treatments were based on clinical symptoms. In seven of the eight patients, the CSH was in the left hemisphere, whereas one patient had bilateral CSH. In one of the eight patients, thrombosis of the transverse sinus and sigmoid sinus was found, but recanalization was observed at follow-up. In a further three patients, the superior sagittal sinus, the straight sinus, and the vein of Galen were markedly reduced in diameter compared to normal or were not visible at presentation, but normal flow was observed at follow-up. In the remaining four patients, the transverse sinus was not observed at symptom onset or during long-term follow-up. A nontraumatic CSH can occur secondary to a venous thrombosis or it can be associated with the inability to image some of the venous sinuses. Venous flow was restored at long-term follow-up. Increased intravenous pressure is thought to be the pathogenic factor that causes a nontraumatic CSH.
Postpartum cerebral venous thrombosis
2002, Clinica e Investigacion en Ginecologia y Obstetricia
La tromboflebitis cerebral es una complicación poco frecuente de la gestación y del puerperio. Aportamos el caso de una paciente de 22 años que ha presentado una tromboflebitis cerebral del posparto secundaria a un déficit adquirido en antitrombina III. La sintomatología clínica de las tromboflebitis cerebrales es a veces engañosa. La angiografía y la resonancia magnética permiten realizar un diagnóstico rápido y acertado. El tratamiento está basado en la heparinoterapia a dosis anticoagulantes. Este tratamiento deberá adaptarse en caso de déficit en factores de la coagulación que deben ser investigados ante todo accidente tromboembólico de localización inhabitual.
Cerebral thrombophlebitis is a rare complication of pregnancy and post-partum. We report the case of a 22 year old woman presenting with a post-partum cerebral thrombophlebitis, secondary to an acquired deficiency of antithrombin III. The clinical symptoms of cerebral thrombophlebitis can be misleading. Angiography and magnetic resonance imaging can make the diagnosis. Treatment is based on anticoagulating heparin therapy. This treatment must be adapted in the case of coagulation deficiency factors, which must always be investigated when there is a thrombo-embolic accident of unusual location.
Cerebral venous sinus thrombosis manifesting as chronic spontaneous subdural hematoma: case report and review of the literature
2024, Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Prevalence of cerebral sinovenous thrombosis in abusive head trauma
2023, Pediatric Radiology

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View full text

Superior sagittal sinus thrombosis followed by subdural hematoma

Abstract

Comput Tomogr

Surg Neurol

J Pediatr

Dural sinus thrombosis in early life: recovery from acute thrombosis of the superior longitudinal sinus and its relation to certain acquired cerebral lesions in childhood

Brain

Non-infective intracranial venous thrombosis

Brain

Subdural hematoma associated with bleeding intracranial aneurysm

J Neurosurg

Dural sinus and cerebral venous thrombosis

Idiopathic recurrent thrombophlebitis

Computed cranial tomographic findings in cerebral sinovenous occlusion

J Comput Assist Tomogr

Spontaneous subdural hematoma of arterial origin: report of two cases

Neurosurgery

Subdural hematoma from arterial rupture

J Neurosurg

Intracranial venous thrombosis complicating oral contraception: treatment by anticoagulant drugs

Br Med J

Superior sagittal sinus thrombosis

Arch Neurol

Symmetric hemorrhagic necrosis of the cerebrum following primary thrombosis of the superior longitudinal sinus

Arch Pathol

Chronic subdural hematoma: changed its density from low to high on follow-up CT

No Shinkei Geka