Traumatic bilateral deep cerebral venous thrombosis: illustrative case.

Journal of neurosurgery. Case lessons Pub Date : 2025-06-09 DOI:10.3171/CASE25192

Callum D Dewar, Maureen Scarboro, Cara Lomangino, Gary Schwartzbauer, Timothy Chryssikos, Ross C Puffer, Kristopher G Hooten, Bizhan Aarabi

{"title":"Traumatic bilateral deep cerebral venous thrombosis: illustrative case.","authors":"Callum D Dewar, Maureen Scarboro, Cara Lomangino, Gary Schwartzbauer, Timothy Chryssikos, Ross C Puffer, Kristopher G Hooten, Bizhan Aarabi","doi":"10.3171/CASE25192","DOIUrl":null,"url":null,"abstract":"Background: Deep cerebral venous thrombosis (DCVT) is exceedingly rare in isolation in the setting of trauma. Repercussions from delayed or absent treatment are associated with permanent neurological deficits and high rates of mortality.Observations: A 19-year-old male presented with headache and lethargy following a motor vehicle accident 4 days prior. CT findings were concerning for DCVT, which was confirmed on CT venogram. MRI showed venous congestion of the bilateral thalami, likely secondary to outflow obstruction. The patient's symptoms improved following anticoagulation therapy.Lessons: This case represents the first documented case of isolated traumatic bilateral DCVT without a preexisting hypercoagulable state or associated mass lesion. Dedicated venous imaging should be obtained in high-impact traumatic brain injury when noncontrasted imaging studies are inconclusive and clinical symptoms indicate further investigation is needed. https://thejns.org/doi/10.3171/CASE25192.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"9 23","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12147660/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of neurosurgery. Case lessons","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3171/CASE25192","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Deep cerebral venous thrombosis (DCVT) is exceedingly rare in isolation in the setting of trauma. Repercussions from delayed or absent treatment are associated with permanent neurological deficits and high rates of mortality.

Observations: A 19-year-old male presented with headache and lethargy following a motor vehicle accident 4 days prior. CT findings were concerning for DCVT, which was confirmed on CT venogram. MRI showed venous congestion of the bilateral thalami, likely secondary to outflow obstruction. The patient's symptoms improved following anticoagulation therapy.

Lessons: This case represents the first documented case of isolated traumatic bilateral DCVT without a preexisting hypercoagulable state or associated mass lesion. Dedicated venous imaging should be obtained in high-impact traumatic brain injury when noncontrasted imaging studies are inconclusive and clinical symptoms indicate further investigation is needed. https://thejns.org/doi/10.3171/CASE25192.

查看原文本刊更多论文

外伤性双侧脑深静脉血栓：说明性病例。

背景：脑深部静脉血栓形成（DCVT）是非常罕见的单独设置的创伤。延迟或缺席治疗的后果与永久性神经功能缺损和高死亡率有关。观察：一名19岁男性在4天前发生机动车事故后出现头痛和嗜睡。CT表现与DCVT有关，经CT血管造影证实。MRI显示双侧丘脑静脉充血，可能继发于流出梗阻。患者经抗凝治疗后症状有所改善。经验教训：本病例是第一例文献记载的孤立的创伤性双侧DCVT，没有先前存在的高凝状态或相关的肿块病变。当非对比成像研究不确定且临床症状表明需要进一步调查时，应在高冲击创伤性脑损伤中进行专门的静脉成像。https://thejns.org/doi/10.3171/CASE25192。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of neurosurgery. Case lessons

CiteScore

0.40

自引率

0.00%

发文量