Published online Jul 16, 2017. doi: 10.12998/wjcc.v5.i7.292
Peer-review started: September 28, 2016
First decision: November 10, 2016
Revised: March 8, 2017
Accepted: March 16, 2017
Article in press: March 17, 2017
Published online: July 16, 2017
Processing time: 289 Days and 12.3 Hours
Dural sinus thrombosis following a head trauma is a rare condition, described in literature along with the lack of consensus regarding diagnosis and management. We present a case of a fifty-year-old man with a head injury and combined supratentorial-subtentorial epidural hematoma who was treated conservatively through the administration of low molecular weight heparin. The diagnosis and management of this condition are discussed based on a literature review. The early diagnosis may prevent potentially treatable poor outcomes.
Core tip: Dural sinus thrombosis (DST) is a rare although serious clinicopathological entity that causes approximately 0.5% of all stroke cases. Head trauma may be identified as a possible cause of DST. The lack of consensus regarding the most appropriate therapeutic strategy prompted us to describe this unusual case of transverse sinus thrombosis caused by a combined supra-subtentorial haematoma. The absence of symptoms of the patient convinced us to assume a conservative behaviour which consisted in the administration of low molecular weight heparin after the computed tomography scan had documented the stability of the extradural collection. Our strategy leads to the recanalization of the sinus.