Sigmoid sinus thrombosis secondary to spontaneous temporal bone cerebrospinal fluid fistula: a case report

Authors

DOI:

https://doi.org/10.22491/2357-9730.118846

Keywords:

Cefaleia, Espaço subaracnóideo, Fístula, Osso temporal, Trombose venosa, Hipotensão intracraniana

Abstract

Temporal bone cerebrospinal fluid fistula is a rare event that results from abnormal communication between the subarachnoid space and the mastoid cells, allowing
the cerebrospinal fluid to flow into the pneumatized portions of the temporal bone. It leads to spontaneous intracranial hypotension, characterized by loss of cerebrospinal fluid and orthostatic headache as a clinical manifestation. Spontaneous intracranial hypotension is believed to create favorable hemodynamic conditions to the occurrence of cerebral venous thrombosis, a potentially fatal disorder of difficult diagnosis given
the nonspecific clinical signs and symptoms. Therefore, it is pertinent to consider the possibility of cerebral venous thrombosis in patients with cerebrospinal fluid fistulas,
especially when there is a modification in the headache pattern from orthostatic to intense and continuous pain.

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Author Biographies

Flávia Rauber Felkl, Universidade de Passo Fundo, Passo Fundo (RS)

Acadêmica de Medicina na Universidade de Passo Fundo

Letícia Lemes Gai, Universidade de Passo Fundo, Passo Fundo (RS)

Acadêmica de Medicina na Universidade de Passo Fundo

Marina Paese Pasqualini, Universidade de Passo Fundo, Passo Fundo (RS)

Médica formada pela Universidade de Passo Fundo

Paulo Moacir Mesquita Filho, Universidade de Passo Fundo, Passo Fundo (RS)

Médico neurocirurgião e professor da Universidade de Passo Fundo

Juliana Sato Hermann, Hospital Santo Antônio, Tenente Portela (RS)

Médica otorrinolaringologista no Hospital Santo Antônio, Tenente Portela (RS)

Diego Rodrigo Hermann, Hospital Santo Antônio, Tenente Portela (RS)

Médico otorrinolaringologista no Hospital Santo Antônio, Tenente Portela (RS)

Fábio Pires Santos, Hospital São Vicente de Paulo, Passo Fundo (RS)

Médico otorrinolaringologista no Hospital São Vicente de Paulo, Passo Fundo (RS)

Published

2022-05-25

How to Cite

1.
Felkl FR, Gai LL, Pasqualini MP, Mesquita Filho PM, Hermann JS, Hermann DR, et al. Sigmoid sinus thrombosis secondary to spontaneous temporal bone cerebrospinal fluid fistula: a case report. Clin Biomed Res [Internet]. 2022 May 25 [cited 2025 Aug. 28];42(1). Available from: https://seer.ufrgs.br/index.php/hcpa/article/view/118846

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