Abstract

Background: Cerebral venous thrombosis (CVT) is an uncommon cerebral vascular event with diverse clinical presentations. Traumatic brain injury (TBI) is an infrequent but potentially serious cause of CVT. Post-traumatic Cerebral Venous Sinus Thrombosis (PTCVST) is a rare manifestation with life-threatening implications. We present a case report to shed light on the underdiagnosed entity of PTCVST and its clinical management. Case Presentation: A 32-year-old male suffered head trauma. With no immediate neurological deficits. Subsequently, he developed persistent symptoms, including increasing headaches and dizziness worsened by physical activity or stress. Despite intensified treatment, symptoms persisted, prompting reevaluation. Discussion: PTCVST due to TBI is a rare condition often underdiagnosed. Headache is a common presenting symptom,. Focal neurological deficits are rare but notable. Our case aligns with the limited reports on PTCVST in medical literature. Diagnostic techniques such as venous tomography angiography and magnetic resonance angiography aid in identification, with the latter being sensitive to thrombus location. Anticoagulation, is the standard treatment, although factor Xa inhibitors like apixaban also demonstrate efficacy. Conclusion: PTCVST remains an underdiagnosed entity despite its potential severity. This case underscores the importance of considering PTCVST as a differential diagnosis in TBI.

Keywords

thrombosis, headache, trauma