Sigmoid and transverse sinus thrombosis after closed head injury presenting with unilateral hearing loss
Sinus thrombosis has rarely been associated with closed head injury; more often, thrombosis of the sigmoid or transverse sinus is caused by otogenic inflammations or tumours, or occurs during pregnancy. Symptoms are frequently vague, while untreated thrombus progression may be fatal due to venous co...
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| Veröffentlicht in: | Neuroradiology 2001-02, Vol.43 (2), p.144-146 |
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| creator | BRORS, D SCHÄFERS, M SCHICK, B DAZERT, S DRAF, W KAHLE, G |
| description | Sinus thrombosis has rarely been associated with closed head injury; more often, thrombosis of the sigmoid or transverse sinus is caused by otogenic inflammations or tumours, or occurs during pregnancy. Symptoms are frequently vague, while untreated thrombus progression may be fatal due to venous congestion and infarction. We report a 32-year-old man presenting with right hearing loss, tinnitus and headache 2 days after a closed head injury. Neurological examination showed no additional abnormality. The EEG showed focal bifrontal slowing. CT revealed a fracture of the occipital bone. MRI and MRA demonstrated complete thrombosis of the right sigmoid and transverse sinuses. After 2 weeks of intravenous heparin therapy followed by warfarin, the patient's hearing improved and MRI and MRA showed complete recanalisation of the sigmoid and transverse sinuses. Venous sinus thrombosis can be an undetected sequel to head injury. Appropriate imaging studies should be carried out to enable therapy to be started as soon as possible. |
| doi_str_mv | 10.1007/PL00006045 |
| format | Article |
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Symptoms are frequently vague, while untreated thrombus progression may be fatal due to venous congestion and infarction. We report a 32-year-old man presenting with right hearing loss, tinnitus and headache 2 days after a closed head injury. Neurological examination showed no additional abnormality. The EEG showed focal bifrontal slowing. CT revealed a fracture of the occipital bone. MRI and MRA demonstrated complete thrombosis of the right sigmoid and transverse sinuses. After 2 weeks of intravenous heparin therapy followed by warfarin, the patient's hearing improved and MRI and MRA showed complete recanalisation of the sigmoid and transverse sinuses. Venous sinus thrombosis can be an undetected sequel to head injury. Appropriate imaging studies should be carried out to enable therapy to be started as soon as possible.</description><identifier>ISSN: 0028-3940</identifier><identifier>EISSN: 1432-1920</identifier><identifier>DOI: 10.1007/PL00006045</identifier><identifier>PMID: 11326560</identifier><identifier>CODEN: NRDYAB</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Adult ; Biological and medical sciences ; Head Injuries, Closed - complications ; Headache - etiology ; Hearing Loss - etiology ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Magnetic Resonance Angiography ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Neurology ; Sinus Thrombosis, Intracranial - diagnosis ; Sinus Thrombosis, Intracranial - etiology ; Tinnitus - etiology ; Tomography, X-Ray Computed ; Traumas. 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Symptoms are frequently vague, while untreated thrombus progression may be fatal due to venous congestion and infarction. We report a 32-year-old man presenting with right hearing loss, tinnitus and headache 2 days after a closed head injury. Neurological examination showed no additional abnormality. The EEG showed focal bifrontal slowing. CT revealed a fracture of the occipital bone. MRI and MRA demonstrated complete thrombosis of the right sigmoid and transverse sinuses. After 2 weeks of intravenous heparin therapy followed by warfarin, the patient's hearing improved and MRI and MRA showed complete recanalisation of the sigmoid and transverse sinuses. Venous sinus thrombosis can be an undetected sequel to head injury. Appropriate imaging studies should be carried out to enable therapy to be started as soon as possible.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Head Injuries, Closed - complications</subject><subject>Headache - etiology</subject><subject>Hearing Loss - etiology</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Magnetic Resonance Angiography</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neurology</subject><subject>Sinus Thrombosis, Intracranial - diagnosis</subject><subject>Sinus Thrombosis, Intracranial - etiology</subject><subject>Tinnitus - etiology</subject><subject>Tomography, X-Ray Computed</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0028-3940</issn><issn>1432-1920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0EtLxDAQB_AgiruuXvwAEhA8CNU8-kiPsviCBQX1XNIk3WZp0zXTKvvtTdni5jIQfjPM_BG6pOSOEpLdv69IeCmJkyM0pzFnEc0ZOUZzQpiIeB6TGToD2ATEM56dohmlnKVJSuao_rDrtrMaS6dx76WDH-PBYLBuANzXvmvLDixgWfXGY9V0YDSujdTYus3gd3jrDRjXW7fGv7av8eBsI4OVzcj8-B-a4BydVLIBczHVBfp6evxcvkSrt-fX5cMqUpzSPmJJnDJdCpnJknIi0nCgoMRonqeGiqxMudRJrlklRBLTXDBJKhrnauxReckX6GY_d-u778FAX7QWlGka6Uw3QJERETiLA7zdQ-XDet5UxdbbVvpdQUkx5loccg34apo6lK3RBzoFGcD1BCQo2VQhSWXh3wlBk1zwPzOKgAY</recordid><startdate>20010201</startdate><enddate>20010201</enddate><creator>BRORS, D</creator><creator>SCHÄFERS, M</creator><creator>SCHICK, B</creator><creator>DAZERT, S</creator><creator>DRAF, W</creator><creator>KAHLE, G</creator><general>Springer</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20010201</creationdate><title>Sigmoid and transverse sinus thrombosis after closed head injury presenting with unilateral hearing loss</title><author>BRORS, D ; SCHÄFERS, M ; SCHICK, B ; DAZERT, S ; DRAF, W ; KAHLE, G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c311t-25462db8a7ab13086007810ed396e187b63ad59d2f88541982a0f149cdb8ac9b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Head Injuries, Closed - complications</topic><topic>Headache - etiology</topic><topic>Hearing Loss - etiology</topic><topic>Humans</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Magnetic Resonance Angiography</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Neurology</topic><topic>Sinus Thrombosis, Intracranial - diagnosis</topic><topic>Sinus Thrombosis, Intracranial - etiology</topic><topic>Tinnitus - etiology</topic><topic>Tomography, X-Ray Computed</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BRORS, D</creatorcontrib><creatorcontrib>SCHÄFERS, M</creatorcontrib><creatorcontrib>SCHICK, B</creatorcontrib><creatorcontrib>DAZERT, S</creatorcontrib><creatorcontrib>DRAF, W</creatorcontrib><creatorcontrib>KAHLE, G</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neuroradiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BRORS, D</au><au>SCHÄFERS, M</au><au>SCHICK, B</au><au>DAZERT, S</au><au>DRAF, W</au><au>KAHLE, G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sigmoid and transverse sinus thrombosis after closed head injury presenting with unilateral hearing loss</atitle><jtitle>Neuroradiology</jtitle><addtitle>Neuroradiology</addtitle><date>2001-02-01</date><risdate>2001</risdate><volume>43</volume><issue>2</issue><spage>144</spage><epage>146</epage><pages>144-146</pages><issn>0028-3940</issn><eissn>1432-1920</eissn><coden>NRDYAB</coden><abstract>Sinus thrombosis has rarely been associated with closed head injury; more often, thrombosis of the sigmoid or transverse sinus is caused by otogenic inflammations or tumours, or occurs during pregnancy. Symptoms are frequently vague, while untreated thrombus progression may be fatal due to venous congestion and infarction. We report a 32-year-old man presenting with right hearing loss, tinnitus and headache 2 days after a closed head injury. Neurological examination showed no additional abnormality. The EEG showed focal bifrontal slowing. CT revealed a fracture of the occipital bone. MRI and MRA demonstrated complete thrombosis of the right sigmoid and transverse sinuses. After 2 weeks of intravenous heparin therapy followed by warfarin, the patient's hearing improved and MRI and MRA showed complete recanalisation of the sigmoid and transverse sinuses. Venous sinus thrombosis can be an undetected sequel to head injury. Appropriate imaging studies should be carried out to enable therapy to be started as soon as possible.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>11326560</pmid><doi>10.1007/PL00006045</doi><tpages>3</tpages></addata></record> |
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| subjects | Adult Biological and medical sciences Head Injuries, Closed - complications Headache - etiology Hearing Loss - etiology Humans Injuries of the nervous system and the skull. Diseases due to physical agents Magnetic Resonance Angiography Magnetic Resonance Imaging Male Medical sciences Neurology Sinus Thrombosis, Intracranial - diagnosis Sinus Thrombosis, Intracranial - etiology Tinnitus - etiology Tomography, X-Ray Computed Traumas. Diseases due to physical agents Vascular diseases and vascular malformations of the nervous system |
| title | Sigmoid and transverse sinus thrombosis after closed head injury presenting with unilateral hearing loss |
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