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Occipital head strike with cerebellar contusion and sinus thrombosis

Case contributed by Jeremy Jones
Diagnosis certain

Presentation

Fall while water skiing. Hit by motor boat. Rapidly extracated from water. GCS 13. Intubated at scene. Compound occipital fracture with depressed fragment.

Patient Data

Age: 12
Gender: Female

Large depressed skull fracture with associated hemorrhagic contusion.

Large left sided depressed occipital skull fracture with underlying cerebellar contusion and mass effect. In addition, there is a left sided transverse sinus thrombosis that extends into the jugular vein.

Case Discussion

Direct head strike has resulted in a large depressed occipital skull fracture with associated cerebellar contusion and a dural venous sinus thrombosis in the transverse sinus that extends into the proximal jugular vein.

When skull fractures occur in the region of the dural sinuses it is paramount to ensure that there is not a sinus thrombosis.

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