Traumatic vein of Labbe hemorrhagic infarction—clinical profile and outcome analysis
Journal Title: International Journal of Medical Science and Public Health - Year 2016, Vol 5, Issue 2
Abstract
Background: Of the various neurosurgical entities, traumatic vein of Labbe hemorrhagic infarction is unique and requires exceptional care as it drains into the eloquent area and shows higher affinity for early uncal herniation. Objective: To study the clinical profile and outcome analysis of traumatic vein of Labbe hemorrhagic infarction. Materials and Methods: We analyzed 26 cases admitted in our department between 2012 and 2015 and studied the clinical profile and carried out an outcome analysis of the same. Result: The presence of associated injuries was seen in 77% of cases and contracoup injury in 31% of them. Most of the patients were managed conservatively (57%). Surgical intervention was required in 43% of cases, with overall mortality of 12%. Hemiparesis and opercular syndrome were the most common deficits seen in the patients (11%). Conclusion: Traumatic vein of Labbe hemorrhagic infarction in an important neurosurgical emergency. Maintaining a high index of suspicion and following-up of patients showing hyperdensity in the transverse sinus region is, thus, impera - tive. Cerebral venous thrombosis that is left untreated might result in hemorrhagic infarction and death.
Authors and Affiliations
Sunil Munakomi
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