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Management and outcome of cerebral venous thrombosis after head trauma

GRANGEON L; GILARD V; OZKUL WERMESTER O; LEFAUCHEUR R; CUREY S; GERARDIN E; DERREY S; MALTETE D; MAGNE N; TRIQUENOT A
REV NEUROL (Paris) , 2017, vol. 173, n° 6, p. 411-417
Doc n°: 186653
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.neurol.2017.03.025
Descripteurs : AF5 - PARKINSON, AF21 - ACCIDENTS VASCULAIRES CEREBRAUX

Cerebral venous thrombosis (CVT) is an underdiagnosed complication of head
trauma. To date, initiation of anticoagulation is still a matter of debate
because of the risk of worsening traumatic hemorrhage.
This report describes a
case series of five patients admitted for head injury complicated by CVT. The
main associated radiological signs were skull fractures crossing the venous sinus
and adjacent traumatic hematoma. In four patients, anticoagulation was introduced
within 48-72h of CVT diagnosis, with no subsequent hemorrhagic complications. The
present report and data from the literature raise the question of systematic
additional venoscans when confronted by associated radiological features of
post-traumatic CVT. The safety of anticoagulation in selected patients is also
discussed.
CI - Copyright (c) 2017 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS

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