Decompressive craniectomy for dural venous sinus thrombosis

A rare event, dural sinus thrombosis occurs more frequently in young adults and children. Generally, medical treatment is the preferred option for this condition; however, if no improvement is observed with medical treatment, decompressive craniectomy is suggested as the preferred surgical interven...

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Main Authors: Álvaro Campero, Roberto González Méndez, Matias Baldoncini, Michael Gregorio Ortega Sierra
Format: Article
Language:English
Published: London Academic Publishing 2024-03-01
Series:Romanian Neurosurgery
Subjects:
Online Access:https://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2582
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author Álvaro Campero
Roberto González Méndez
Matias Baldoncini
Michael Gregorio Ortega Sierra
author_facet Álvaro Campero
Roberto González Méndez
Matias Baldoncini
Michael Gregorio Ortega Sierra
author_sort Álvaro Campero
collection DOAJ
description A rare event, dural sinus thrombosis occurs more frequently in young adults and children. Generally, medical treatment is the preferred option for this condition; however, if no improvement is observed with medical treatment, decompressive craniectomy is suggested as the preferred surgical intervention. A non-systematic literature search was conducted in PubMed and SCOPUS databases until June 2023, using keywords such as "Decompressive craniectomy," "Dural venous sinus thrombosis," and "Traumatic Brain Injury," along with their synonyms in both English and Spanish. The search revealed that genetic or acquired thrombophilia and the use of oral contraceptives were the most common risk factors, explaining the female predominance of this condition. Patients with dural sinus thrombosis commonly experience headaches, the intensity of which is not yet considered pathognomonic for the condition, ranging from mild to severe. Other nonspecific symptoms include nausea, vomiting, and papilledema. Thrombolytic agents are utilized to rapidly dissolve the clot, supported by interventional neuroradiology techniques to administer the agent directly at the thrombosis site. Studies have reported the effectiveness of emergent decompressive craniectomy in patients with recent onset of dural sinus thrombosis, leading to good results, especially in cases where cerebral hernia is present.
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spelling doaj.art-6e8a32859f944cb5a3cf8f9d3f58cac82024-03-22T13:47:30ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592024-03-01381Decompressive craniectomy for dural venous sinus thrombosisÁlvaro CamperoRoberto González MéndezMatias BaldonciniMichael Gregorio Ortega Sierra A rare event, dural sinus thrombosis occurs more frequently in young adults and children. Generally, medical treatment is the preferred option for this condition; however, if no improvement is observed with medical treatment, decompressive craniectomy is suggested as the preferred surgical intervention. A non-systematic literature search was conducted in PubMed and SCOPUS databases until June 2023, using keywords such as "Decompressive craniectomy," "Dural venous sinus thrombosis," and "Traumatic Brain Injury," along with their synonyms in both English and Spanish. The search revealed that genetic or acquired thrombophilia and the use of oral contraceptives were the most common risk factors, explaining the female predominance of this condition. Patients with dural sinus thrombosis commonly experience headaches, the intensity of which is not yet considered pathognomonic for the condition, ranging from mild to severe. Other nonspecific symptoms include nausea, vomiting, and papilledema. Thrombolytic agents are utilized to rapidly dissolve the clot, supported by interventional neuroradiology techniques to administer the agent directly at the thrombosis site. Studies have reported the effectiveness of emergent decompressive craniectomy in patients with recent onset of dural sinus thrombosis, leading to good results, especially in cases where cerebral hernia is present. https://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2582intracranial embolism and thrombosisintracranial sinus thrombosisdecompressive craniectomyneurosurgery
spellingShingle Álvaro Campero
Roberto González Méndez
Matias Baldoncini
Michael Gregorio Ortega Sierra
Decompressive craniectomy for dural venous sinus thrombosis
Romanian Neurosurgery
intracranial embolism and thrombosis
intracranial sinus thrombosis
decompressive craniectomy
neurosurgery
title Decompressive craniectomy for dural venous sinus thrombosis
title_full Decompressive craniectomy for dural venous sinus thrombosis
title_fullStr Decompressive craniectomy for dural venous sinus thrombosis
title_full_unstemmed Decompressive craniectomy for dural venous sinus thrombosis
title_short Decompressive craniectomy for dural venous sinus thrombosis
title_sort decompressive craniectomy for dural venous sinus thrombosis
topic intracranial embolism and thrombosis
intracranial sinus thrombosis
decompressive craniectomy
neurosurgery
url https://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2582
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AT robertogonzalezmendez decompressivecraniectomyforduralvenoussinusthrombosis
AT matiasbaldoncini decompressivecraniectomyforduralvenoussinusthrombosis
AT michaelgregorioortegasierra decompressivecraniectomyforduralvenoussinusthrombosis