Lee Jungbin, Hwang Sun-Chul
Department of Radiology, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
Department of Neurosurgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
Korean J Neurotrauma. 2021 Apr 14;17(1):54-60. doi: 10.13004/kjnt.2021.17.e5. eCollection 2021 Apr.
The incidence of dural venous sinus thrombosis (DVST) and the cerebral venous infarct have not exactly known, but DVST is closely related to the skull fracture around the venous sinus. A 56-year-old man experienced massive watery discharge after hitting on his face by a falling machine. He was alert and no cerebrospinal fluid discharge on admission. Air-density was shown on the jugular fossa in the brain computed tomography. On the 3th day of trauma, he suddenly had dyspnea and loss of consciousness and became comatose. Acute edema on medulla, pons and right cerebellar hemisphere and focal infarct on right medulla were visualized on the brain magnetic resonance imaging. And the sigmoid sinus and the jugular vein were occluded and venous circulation on the right posterior fossa was diminished on the cerebral angiography. Air-density on the sinus may be an indicator into developing venous thrombosis and brainstem venous infarct could be followed by the DVST round the jugular bulb.
硬脑膜静脉窦血栓形成（DVST）和脑静脉梗死的发病率尚不完全清楚，但DVST与静脉窦周围的颅骨骨折密切相关。一名56岁男性被坠落的机器击中面部后出现大量水样分泌物。入院时他神志清醒，无脑脊液漏出。脑部计算机断层扫描显示颈静脉窝有空气密度影。外伤后第3天，他突然出现呼吸困难和意识丧失，陷入昏迷。脑部磁共振成像显示延髓、脑桥和右侧小脑半球急性水肿，右侧延髓局灶性梗死。脑血管造影显示乙状窦和颈静脉闭塞，右侧后颅窝静脉循环减少。窦内的空气密度影可能是发生静脉血栓形成的一个指标，颈静脉球周围的DVST可能继发脑干静脉梗死。
