Case Report
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2017; 5(7): 292-298
Published online Jul 16, 2017. doi: 10.12998/wjcc.v5.i7.292
Post traumatic dural sinus thrombosis following epidural hematoma: Literature review and case report
Lorenzo Pescatori, Maria Pia Tropeano, Cristina Mancarella, Emiliano Prizio, Giorgio Santoro, Maurizio Domenicucci
Lorenzo Pescatori, Maria Pia Tropeano, Cristina Mancarella, Emiliano Prizio, Giorgio Santoro, Maurizio Domenicucci, DAI Neurology and Psichiatry - Department of Neurosurgery, Policlinico Umberto I - Sapienza University of Rome, 00161 Rome, Italy
Author contributions: Pescatori L and Tropeano MP designed work and wrote the manuscript; Mancarella C, Prizio E and Santoro G researched the bibliography; Domenicucci M have supervised and corrected the manuscript.
Institutional review board statement: This case report was exempt from the Institutional Review Board standards at Sapienza University of Rome.
Informed consent statement: The patient gave his written informed consent authorizing use and disclosure of his protected health information.
Conflict-of-interest statement: All the authors have no conflicts of interests to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Maria Pia Tropeano, MD, DAI Neurology and Psichiatry - Department of Neurosurgery, Policlinico Umberto I - Sapienza University of Rome, Viale del Policlinico 155, 00161 Rome, Italy. mariapia.tropeano@libero.it
Telephone: +39-064-9979111 Fax: +39-064-9979111
Received: September 26, 2016
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
Core Tip

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.