Affiliation:
1. Sklifosovsky Research Institute of Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department
Abstract
This article represents the discussion of a clinical case of superior sagittal sinus thrombosis as a focal point of fatal pulmonary embolism. Pulmonary embolism is a life-threatening condition, with a mortality rate of up to 40%. The direct source of pulmonary embolism is deep vein thrombosis of the lower extremities and pelvis in 80–90% of all cases. The veins of the upper extremities and venous heart cause it less often. Pulmonary embolism in patients with cerebral venous thrombosis is observed in 1.4% of patients.Cerebral venous thrombosis is a cerebrovascular disease manifested by venous outflow disorders due to acute occlusion of the sinuses and veins of the brain. It requires immediate treatment in order to prevent the development of intracranial hemorrhage, venous infarction, disability and death. Cerebral venous thrombosis accounts for approximately 0.5% of all cases of cerebrovascular disease worldwide. In contrast to ischemic stroke, cerebral venous thrombosis is more common in younger patients. Currently, the diagnosis of cerebral venous thrombosis is based on neuroimaging data, and timely treatment leads to a decrease in disability and mortality.
Publisher
Medical Informational Agency Publishers
Subject
Psychiatry and Mental health,Neurology (clinical),Neurology
Reference17 articles.
1. Liberman A.L., Merkler A.E., Gialdini G., Messé S.R., Lerario M.P., Murthy S.B. et al. Risk of Pulmonary Embolism after Cerebral Venous Thrombosis. Stroke. 2017;48(3):563–567. https://doi.org/10.1161/STROKEAHA.116.016316
2. Bergquist D., Lindblad V. Incidence of venous throm-boembolism in medical and surgical patients. In: Bergquist D., Comerota A.G., Nicolaides A.N. et al. (eds.) Prevention of venous thromboembolism. London; Los Angeles; Nicosia: Med Orion Publishing Company; 1994:3–16.
3. Diaz J.M., Schiffman J.S., Urban E.S., Maccario M. Superior sagittal sinus thrombosis and pulmonary embolism: a syndrome rediscovered. Acta Neurol. Scand. 1992;86(4):390–396. https://doi.org/10.1111/j.1600-0404.1992.tb05106.x
4. Stam J. Thrombosis of the cerebral veins and sinuses. N. Engl. J. Med. 2005;28;352(17):1791–1798. https://doi.org/10.1056/NEJMra042354
5. Krayenbuhl H.A. Cerebral venous and sinus thrombosis. Neurol. Med. Chir. (Tokyo). 1968; 10:1–24. https://doi.org/10.2176/nmc.10.1