Superior sagittal sinus thrombosis after internal jugular vein cannulation.
A case of cerebral venous sinus thrombosis after central venous cannulation is presented. This occurred after a catheter had been in place for 5 days. The patient presented with thrombosis of the left internal jugular vein 4 days after removal of the catheter. Despite anticoagulation, the patient developed symptoms of increased intracranial pressure. Subsequently, a diagnosis of superior sagittal sinus thrombosis was made. The aetiology, diagnosis and management of this uncommon complication of central venous cannulation are discussed.
National Hospital for Neurology and Neurosurgery, London.
P H
PH
Stephens
G
G
Lennox
N
N
Hirsch
D
D
Miller
D001921:Brain / Q000000981:diagnostic imaging; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D004940:Esophageal Stenosis / Q000601:surgery; D004947:Esophagus / Q000601:surgery; D005260:Female; D006801:Humans; D007601:Jugular Veins; D008875:Middle Aged; D010211:Papilledema / Q000209:etiology; D011184:Postoperative Period; D011859:Radiography; D012851:Sinus Thrombosis, Intracranial / Q000000981:diagnostic imaging / Q000209:etiology*; D013927:Thrombosis / Q000209:etiology*