Dural venous sinus thrombosis after traumatic brain injury


  • Gaurawkant Girwal Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • A. K. Chaurasiya Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • Lalit Dhurve Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • Rajneesh Gaur Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India




Traumatic brain injury, Dural venous sinus thrombosis, GCS, MR venography


Background: Dural venous sinus thrombosis (DVST) is a subset of cerebral venous thrombosis, and its presentation depends mainly on the sinus involved. The use of modern imaging techniques allows earlier diagnosis of DVST. Aims and objectives were to study the outcome and prognosis of DVST after head injury.

Methods: This observational cross-sectional study was conducted in a tertiary care surgical intensive care unit (ICU) in central India on patients admitted to Gandhi Medical College, Bhopal, in the period from January 2020 to December 2020, suffering from traumatic brain injuries, suspected of dural venous sinus/cortical vein thrombosis. Glasgow coma scale (GCS) was recorded at the time of admission and regular follow-ups were every fortnightly done for 6 months. Statistical analysis was done with the help of Epi-Info 7 software.

Results: The mean age of the patients was 43.78 years. The most common computed tomography (CT) finding was that temporo-occipital hemorrhage/edema was present in 12 (24%) patients, followed by frontotemporal hemorrhage/edema in 10 (20%) patients. Out of 50 suspected cases based on CT findings only 15 patients were confirmed with the diagnosis of DVST by MRV. There was a shift of patients from moderate and severe GCS to mild GCS in subsequent follow-up.

Conclusions: Head trauma constitutes a potent risk factor for developing thrombosis of the dural venous sinus. Good imaging studies allow us to make an accurate diagnosis and timely management of these patients will give us good results.


Ozturk K, Soylu E, Parlak M. Dural venous sinus thrombosis: The combination of noncontrast CT, MRI and PC-MR venography to enhance accuracy. Neuroradiol J. 2018;31(5):473-81.

Beer-Furlan A, de Almeida CC, Noleto G, Paiva W, Ferreira AA, Teixeira MJ. Dural sinus and internal jugular vein thrombosis complicating a blunt head injury in a pediatric patient. Childs Nerv Syst. 2013;29(8):1231-4.

Al-Sulaiman A. Clinical Aspects, Diagnosis and Management of Cerebral Vein and Dural Sinus Thrombosis: A Literature Review. Saudi J Med Med Sci. 2019;7(3):137-45.

Sheth SA, Trieu H, Liebeskind DS, Saver JL, Szeder V, Jahan R, et al. Venous collateral drainage patterns predict clinical worsening in dural venous sinus thrombosis. J Neurointerv Surg. 2018;10(2):171-5.

Chu K, Kang DW, Yoon BW, Roh JK. Diffusion-weighted magnetic resonance in cerebral venous thrombosis. Arch Neurol. 2001;58(10):1569-76.

Delgado Almandoz JE, Kelly HR, Schaefer PW, Lev MH, Gonzalez RG, Romero JM. Prevalence of traumatic dural venous sinus thrombosis in high- risk acute blunt head trauma patients evaluated with multidetector CT venography. Radiology. 2010;255(2):5707.

Elkatatny AAAM, Elreheem YAA, Hamdy T. Traumatic Dural Venous Sinuses Injury. Open Access Maced J Med Sci. 2019;7(19):3225-34.

Chiewvit P, Piyapittayanan S, Poungvarin N. Cerebral venous thrombosis: diagnosis dilemma. Neurol Int. 2011;3(3):e13.

Alvis-Miranda HR, Milena Castellar-Leones S, Alcala-Cerra G, Rafael Moscote-Salazar L. Cerebral sinus venous thrombosis. J Neurosci Rural Pract. 2013;4(4):427-38.

d'Avella D, Russo A, Santoro G, Pandolfo N, Cafarelli F, De Blasi F, del Vivo RE. Diagnosis of superior sagittal sinus thrombosis by computerized tomography. Report of two cases. J Neurosurg. 1984;61(6):1129-31.

Lee DJ, Ahmadpour A, Binyamin T, Dahlin BC, Shahlaie K, Waldau B. Management and outcome of spontaneous cerebral venous sinus thrombosis in a 5-year consecutive single-institution cohort. J Neurointerv Surg. 2017;9(1):34-8.

Khaladkar S, Thakkar D, Thakkar D, Shrotri H, Kulkarni V. Cerebral venous sinus thrombosis on MRI: A case series analysis. Med J Dr D Patil Univ. 2014;7(3):296.






Original Research Articles