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Sigmoid and transverse sinus thrombosis after closed head injury presenting with unilateral hearing loss

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. (orig.)
Authors:
Brors, D; [1]  Dept. of Ear, Nose and Throat Diseases, Head, Neck and Facial Plastic Surgery, Klinikum Fulda (Germany)]; Schaefers, M; [2]  Schick, B; Draf, W; [3]  Dazert, S; [1]  Kahle, G [4] 
  1. Univ. Hospital Wuerzburg (Germany). Dept. of Oto-Rhino-Laryngology, Head- and Neck-Surgery
  2. Dept. of Neurology, University Hospital Wuerzburg (Germany)
  3. Dept. of Ear, Nose and Throat Diseases, Head, Neck and Facial Plastic Surgery, Klinikum Fulda (Germany)
  4. Department of Radiology, Hospital Fulda (Germany)
Publication Date:
Feb 01, 2001
Product Type:
Journal Article
Reference Number:
EDB-01:025038
Resource Relation:
Journal Name: Neuroradiology; Journal Volume: 43; Journal Issue: 2; Other Information: With 4 figs., 15 refs.; PBD: Feb 2001
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; COMPUTERIZED TOMOGRAPHY; HEAD; INJURIES; INFLAMMATION; PREGNANCY; NMR IMAGING; PAIN
OSTI ID:
20141723
Country of Origin:
Germany
Language:
English
Other Identifying Numbers:
Journal ID: ISSN 0028-3940; NRDYAB; TRN: DE01F1470
Submitting Site:
DEN
Size:
page(s) 144-146
Announcement Date:

Citation Formats

Brors, D, Dept. of Ear, Nose and Throat Diseases, Head, Neck and Facial Plastic Surgery, Klinikum Fulda (Germany)], Schaefers, M, Schick, B, Draf, W, Dazert, S, and Kahle, G. Sigmoid and transverse sinus thrombosis after closed head injury presenting with unilateral hearing loss. Germany: N. p., 2001. Web. doi:10.1007/PL00006045.
Brors, D, Dept. of Ear, Nose and Throat Diseases, Head, Neck and Facial Plastic Surgery, Klinikum Fulda (Germany)], Schaefers, M, Schick, B, Draf, W, Dazert, S, & Kahle, G. Sigmoid and transverse sinus thrombosis after closed head injury presenting with unilateral hearing loss. Germany. doi:10.1007/PL00006045.
Brors, D, Dept. of Ear, Nose and Throat Diseases, Head, Neck and Facial Plastic Surgery, Klinikum Fulda (Germany)], Schaefers, M, Schick, B, Draf, W, Dazert, S, and Kahle, G. 2001. "Sigmoid and transverse sinus thrombosis after closed head injury presenting with unilateral hearing loss." Germany. doi:10.1007/PL00006045. https://www.osti.gov/servlets/purl/10.1007/PL00006045.
@misc{etde_20141723,
title = {Sigmoid and transverse sinus thrombosis after closed head injury presenting with unilateral hearing loss}
author = {Brors, D, Dept. of Ear, Nose and Throat Diseases, Head, Neck and Facial Plastic Surgery, Klinikum Fulda (Germany)], Schaefers, M, Schick, B, Draf, W, Dazert, S, and Kahle, G}
abstractNote = {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. (orig.)}
doi = {10.1007/PL00006045}
journal = {Neuroradiology}
issue = {2}
volume = {43}
journal type = {AC}
place = {Germany}
year = {2001}
month = {Feb}
}