Lakhkar Bhavana, Lakhkar Bhushan, Singh Brij Raj, Agrawal Amit
Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, India.
J Emerg Trauma Shock. 2010 Jan;3(1):73-5. doi: 10.4103/0974-2700.58658.
Dural venous sinus thrombosis following a mild head injury is increasingly recognized. We report case of a 9-year-old male child presented with progressive headache and vomiting following a minor fall. A diagnosis of sinus venous thrombosis was suspected on nonenhancing computed tomography, and that was confirmed with magnetic resonance venography. The child was managed with intravenous fluids, anticoagulation (injection heparin followed by oral anticoagulants-tab coumarin), antiedema measures (mannitol), and antiepileptics (phenytoin) with good outcome.
轻度头部损伤后硬脑膜静脉窦血栓形成越来越受到重视。我们报告一例9岁男性儿童，在轻微跌倒后出现进行性头痛和呕吐。非增强计算机断层扫描怀疑为静脉窦血栓形成，磁共振静脉造影证实了这一诊断。该患儿接受了静脉输液、抗凝治疗（注射肝素后口服抗凝剂——香豆素片）、抗水肿措施（甘露醇）和抗癫痫药物（苯妥英）治疗，效果良好。
