Afshari Fardad T, Yakoub Kamal Makram, Zisakis Athanasios, Thomas Allan, Ughratdar Ismail, Sturman Steven, Belli Antonio
Department of Neurosurgery, Birmingham University Hospital, Birmingham B15 2GW, United Kingdom.
Department of Neurosurgery, Birmingham University Hospital, Birmingham B15 2GW, United Kingdom.
J Clin Neurosci. 2018 Nov;57:169-173. doi: 10.1016/j.jocn.2018.08.047. Epub 2018 Aug 28.
Venous sinus thrombosis secondary to traumatic brain injury and head trauma is increasingly detected following contrast enhanced cranial imaging in acute trauma. The presence of sinus thrombosis poses further challenges in the management of traumatic brain injury patients with cerebral contusions, intraparenchymal haemorrhages or subdural/extradural haemorrhages. The decision to anti-coagulate such trauma induced venous sinus thrombosis is controversial and requires further attention and research to delineate risks versus benefits of treatment. In this article we report 4 cases of venous sinus thrombosis following head trauma and review the literature on management of such patients.
创伤性脑损伤和头部外伤继发的静脉窦血栓形成，在急性创伤的对比增强头颅成像后越来越多地被检测到。静脉窦血栓的存在给伴有脑挫伤、脑实质内出血或硬膜下/硬膜外出血的创伤性脑损伤患者的管理带来了进一步的挑战。对于这种创伤性静脉窦血栓形成进行抗凝治疗的决定存在争议，需要进一步关注和研究以明确治疗的风险与益处。在本文中，我们报告了4例头部外伤后静脉窦血栓形成的病例，并回顾了此类患者管理的相关文献。
