Abstract
This report deals with a case of transverse sinus thrombosis with heart failre.
A 29-year-old female was admitted with signs of high intracranial pressure (ICP) and high fever. A diagnosis of sinus thrombosis was made after cerebral angiography, and conservative treatment was immediately initiated. However, ICP increased to 540 mmH2O and the patient's consciousness level decreased to somnolence. Therefore, surgical treatment was chosen. A Gore-Tex® graft covered with a silicone tube was used as the venous bypass from the right transverse sinus through a bone window to the right internal jugular vein. After surgery, alert consciousness returned and neurological deficits disappeared. ICP decreased to 310 mmH2O. One week after surgery, there was evidence of cardiac tamponade in the chest film and electrocardiogram, abducens nerve palsy, and signs of high ICP again. After pericardiocentesis and drainage, all these symptoms disappeared and the patient went home 3 weeks later.
Transverse sinus thrombosis with heart failure is rare, but microsurgical venous bypass is available for cases in which conservative therapy is not effective.
