A Rare Case of Transverse Sinus Venous Thrombosis Simulating Postdural Puncture Headache After Cervical Epidural Injection Article

Full Text via DOI: 10.1213/XAA.0000000000000345 PMID: 27258176 Web of Science: 000381486600002

Cited authors

  • Guirguis, Maged; Jusino, Eduardo; Tolba, Reda; Samuel, Samuel


  • Postdural puncture headache (PDPH) is a feared complication related to epidural steroid injections. We report a unique case in which all subjective and objective findings indicated the diagnosis of PDPH. However, the patient failed appropriate conservative and interventional management. Therapeutic failure prompted further investigation to establish the correct diagnosis of cerebral venous sinus thrombosis. Cerebral venous sinus thrombosis is a rare, difficult to diagnose, but potentially lethal disorder with nonspecific and variable clinical presentations, including headache and focal neurological deficits. Performing magnetic resonance imaging and magnetic resonance venogram should be considered early, especially in patients who fail to respond to standard interventions for PDPH.

Publication date

  • 2016

Published in

International Standard Serial Number (ISSN)

  • 2325-7237

Start page

  • 57

End page

  • 59


  • 7


  • 3