Trombosis de seno venoso secundaria a traumatismo encéfalo craneano: caso clínico
| Autor: | Felipe Suárez H, Patricio Mellado T, Jaime Godoy F |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Phenytoin
intracranial medicine.medical_specialty medicine.diagnostic_test business.industry Anticoagulants Head injuries Magnetic resonance imaging General Medicine Heparin medicine.disease Thrombosis Asymptomatic Surgery Anesthesia Closed head injury medicine medicine.symptom Complication business Sinus thrombosis medicine.drug Superior sagittal sinus |
| Zdroj: | Revista médica de Chile v.141 n.12 2013 SciELO Chile CONICYT Chile instacron:CONICYT |
| ISSN: | 0034-9887 |
| DOI: | 10.4067/s0034-98872013001200016 |
| Popis: | Intracranial sinus thrombosis (1ST) after closed head injury is an uncommon but potentially serious complication. It has no correlation with the severity of the injury. The symptoms and clinical course are highly variable. The most frequent but least specific symptom is severe headache. Cerebral lesions and neurologic signs develop in half of patients with IST. We report a 29 year-old male who had an IST after a severe closed head injury. The patient initially developed headache and had later 2 secondarily generalized seizures. The magnetic resonance imaging showed a superior sagittal sinus thrombosis. Anticoagulation with unfractionated heparin and intravenous phenytoin was started. At the moment of this report he is asymptomatic and continues with oral anticoagulants and phenytoin. |
| Databáze: | OpenAIRE |
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