Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2023 Jun 12;15(1):108-112.
doi: 10.1159/000530812. eCollection 2023 Jan-Dec.

Cerebral Sinus Vein Thrombosis following Sneezing: Case Report

Helal Nashef  1 , Salo Haratz  1 , Rom Mendel  1
Affiliations
Case Reports

Cerebral Sinus Vein Thrombosis following Sneezing: Case Report

Helal Nashef et al. Case Rep Neurol. .

Abstract

Cerebral sinus vein thrombosis (CVT) is a relatively rare neurovascular entity, usually associated with acquired or genetic hypercoagulable states, and in many cases it remains idiopathic. Trauma is also associated with CVT among patients with major head or neck trauma, including penetrating injuries. However, CVT associated with acceleration trauma has only been described in few cases so far. We present an unusual case of a 19-year-old woman with no past medical history, admitted with an extensive CVT following sneezing. A thorough investigation did not reveal any other potential etiology or risk factor other than estrogen-containing oral contraceptives. The patient was treated with anticoagulation and improved clinically with complete recanalization on follow-up imaging. This case suggests acceleration trauma may be a potential factor of risk for CVT.

Keywords: Acceleration trauma; Case report; Cerebral sinus vein thrombosis.

PubMed Disclaimer

Conflict of interest statement

None of the authors have any financial disclosures or conflicts of interests.

Figures

Fig. 1.
Fig. 1.
Non-contrast head CT demonstrates an abnormal hyperdense signal in the right transverse sinus compatible with an acute sinus thrombosis. CT, computed tomography.
Fig. 2.
Fig. 2.
a CTA confirms a filling defect in the right jugular vein, sigmoid sinus, and transverse sinus. b The superior sagittal sinus shows a classic empty delta sign. c Coronal image demonstrates a filling defect in the right jugular vein with no evidence of venous dissection. CTA, computed tomography angiography.
Fig. 3.
Fig. 3.
Follow-up brain MRV demonstrates complete recanalization. MRV, magnetic resonance venography.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Bousser MG, Ferro JM. Cerebral venous thrombosis: an update. Lancet Neurol. 2007;6(2):162–70. 10.1016/S1474-4422(07)70029-7. - DOI - PubMed
    1. Coutinho JM, Zuurbier SM, Stam J. Declining mortality in cerebral venous thrombosis: a systematic review. Stroke. 2014;45(5):1338–41. 10.1161/STROKEAHA.113.004666. - DOI - PubMed
    1. Towbin A. The syndrome of latent cerebral venous thrombosis: its frequency and relation to age and congestive heart failure. Stroke. 1973;4(3):419–30. 10.1161/01.str.4.3.419. - DOI - PubMed
    1. Canhao P, Ferro JM, Lindgren AG, Bousser MG, Stam J, Barinagarrementeria F, et al. . Causes and predictors of death in cerebral venous thrombosis. Stroke. 2005;36(8):1720–5. 10.1161/01.STR.0000173152.84438.1c. - DOI - PubMed
    1. Ferro JM, Canhão P, Stam J, Bousser MG, Barinagarrementeria F; ISCVT Investigators . Prognosis of cerebral vein and dural sinus thrombosis: results of the international study on cerebral vein and dural sinus thrombosis (ISCVT). Stroke. 2004;35(3):664–70. 10.1161/01.STR.0000117571.76197.26. - DOI - PubMed

Publication types