I just received results from a contrasted
CT scan which shows a thrombosis in the
sinus transversus 7x8x9mm in size. My
symptoms which lead to the scan were mild
constant unilateral headaches and ear pain
for the previous three weeks. No other
neurological symptoms.
This is roughly 6 months after a
mild/moderate head injury on the same
side. (brief lose of conciousness and
amnesia of the event).
I'm an American living abroad, and I have
an appointment with a
Neurologist/Neurosurgeon in 3 days. The
radiologist who identified the thrombosis
gave me no advice on what to do in the
mean time aside from taking it easy and
taking Aulin (Nimesulide) for the pain....
Should I be doing/taking anything
different in the meantime? Anything I
should NOT be doing? ie. Other
medications, alcohol. I'm a regular but
not heavy drinker (2-3 beers 5 nights a
week)
I have several flights in the coming weeks
as well.... is flying dangerous?
I'm also concerned about potential
treatment here as compared to the
states.... what would be a typical course
of action be in a case like this given the
information I've provided?
Thanks in advance.
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MandMs
Extremely EHEALTHy
Joined: 26 Jan 2007 Posts: 2051 Location: Strumica, Macedonia
Thanks: 36
Thanked:10
Hi! Posted: 06-30-08 07:19am
Signs and symptoms of venous sinus
thrombosis are somewhat nonspecific.
There are, also, different causes for this
condition.
One of them is direct head trauma, as, in
your case.
Have you been suggested systemic
anticoagulation therapy (heparin)
therapy?
Try to avoid smoking and drinking
alcohol.
Be careful not to get dehydrated.
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phauwn
New User, Becoming EHEALTHy
Joined: 27 Jun 2008 Posts: 2
recommended treatment Posted: 06-30-08 08:48am
Thanks for the reply.
I've seen a Neurologist who told me to
inject Fraxiparine daily for 10 days,
drink lots of water, and not exercise too
much.
I was also told to use Fraxiparine a day
before flying for the next 3 months.
He suggested that the past head trauma is
a possible cause but gave me a list of
blood tests to rule out other causes.
A follow up MRI was suggested no sooner
than 4 weeks.
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MandMs
Extremely EHEALTHy
Joined: 26 Jan 2007 Posts: 2051 Location: Strumica, Macedonia
Thanks: 36
Thanked:10
Posted: 07-02-08 11:42am
You are welcome!
Fraxiparine is actually a low molecular
weight heparin.
Heparin is effective, since it saves brain
tissue that may be reversibly damaged in
venous thrombosis.
Some clinical reports give information
that systemic anticoagulation therapy
leads to partial or complete venous sinus
recanalization (dissolve blood clots) in
most of the cases of sinus venous
thrombosis.
For patients who don't respond to systemic
anticoagulation therapy, a direct infusion
of thrombolytic drugs (drugs that dissolve
blood clots) into the thrombosed sinus
using an endovascular microcatheter is
recommended.
MRI with MRV is preferred for diagnosis,
although the diagnosis may be made or
suggested by CT brain scan before and
after intravenous contrast medium
injection.
