{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T08:38:03Z","timestamp":1793176683456,"version":"4.5.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Neurotrauma Reports"],"published-print":{"date-parts":[[2024,4,1]]},"abstract":"<jats:p>Traumatic cerebral venous sinus thrombosis (tCVST) is an increasingly recognized sequela of traumatic brain injury (TBI), with skull fractures and extradural hematomas overlying venous sinuses recognized as risk factors. Although it may be treated with anticoagulation, the decision to treat tCVST is nuanced by the risk of new or worsening hemorrhage. Presently, there are no guidelines on the investigation and management of tCVST. Therefore, we conducted a UK- and Ireland-wide practice variation survey. A 17-question survey was sent via Google Forms to neurosurgeons and intensive care doctors of at least ST3 (registrar) level and above in the UK and Ireland and distributed by the Society of British Neurological Surgeons and investigators of the Sugar or Salt trial between May 9, 2023, and September 15, 2023. Data were extracted from the survey for both qualitative and quantitative analyses. There were 41 respondents to the survey, 18 (43.9%) of whom were consultant neurosurgeons. Fifty-four percent of the respondents performed a computed tomography intracranial venogram to investigate for tCVST where there was a skull fracture overlying or adjacent to a venous sinus, whereas 43.9% performed these at the time of TBI diagnosis. Around three-fourth of the respondents anticoagulate for tCVST, largely within 3 days post-TBI. A range of hemorrhagic and thrombotic complications have been observed following decisions to treat and withhold treatment of tCVST, respectively. Around two-third of the respondents conducted follow-up imaging in confirmed tCVST. None of the respondents had an established departmental protocol for the management of tCVST. This UK- and Ireland-wide survey on the management of tCVST revealed a variation in its diagnosis, treatment, and follow-up with no departmental protocol established. The optimal diagnostic pathway, management protocol, and follow-up of patients with tCVST remain unknown and should be the subject of future studies.<\/jats:p>","DOI":"10.1089\/neur.2023.0118","type":"journal-article","created":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T06:01:51Z","timestamp":1717653711000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Management of Traumatic Cerebral Venous Sinus Thrombosis: A United Kingdom and Ireland Survey on Practice Variation"],"prefix":"10.1177","volume":"5","author":[{"given":"Sheikh M. B.","family":"Momin","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham, UK."},{"name":"Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Davies","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham, UK."},{"name":"Centre for Trauma Sciences Research, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip J.","family":"O\u2019Halloran","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham, UK."},{"name":"Department of Physiology &amp; Medical Physics, Royal College of Surgeons of Ireland, University of Medicine and Health Sciences, Dublin, Ireland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Belli","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham, UK."},{"name":"Centre for Trauma Sciences Research, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tonny","family":"Veenith","sequence":"additional","affiliation":[{"name":"Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK."},{"name":"Department of Intensive Care Medicine, Queen Elizabeth Hospital, Birmingham, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramesh","family":"Chelvarajah","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham, UK."},{"name":"Centre for Human Brain Health, College of Life Sciences, University of Birmingham, Birmingham, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,6,6]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2022.1079579"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2020.06.117"},{"issue":"1","key":"e_1_3_4_4_2","first-page":"27","article-title":"Traumatic injury of major cerebral venous sinuses associated with traumatic brain injury or head and neck trauma: Analysis of national trauma data bank","volume":"11","author":"Qureshi AI","year":"2020","unstructured":"Qureshi AI, , Sahito S, , Liaqat J, et al. Traumatic injury of major cerebral venous sinuses associated with traumatic brain injury or head and neck trauma: Analysis of national trauma data bank. J Vasc Interv Neurol, 2020; 11(1):27\u201333.","journal-title":"J Vasc Interv Neurol"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.4103\/0028-3886.170067"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra2106545"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1227\/neu.0000000000001892"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1227\/01.neu.0000489744.00212.28"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-021-04916-x"},{"issue":"8","key":"e_1_3_4_10_2","first-page":"CD002005","article-title":"Anticoagulation for cerebral venous sinus thrombosis","volume":"2011","author":"Coutinho J","year":"2011","unstructured":"Coutinho J, , de Bruijn SF, , Deveber G, et al. Anticoagulation for cerebral venous sinus thrombosis. Cochrane Database Syst Rev, 2011; 2011(8):CD002005; doi: 10.1002\/14651858.CD002005.pub2","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/ene.13381"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0b013e31820a8364"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2018.08.047"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.thromres.2015.11.035"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.3171\/2020.4.JNS20511"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.10091565"},{"issue":"4","key":"e_1_3_4_17_2","first-page":"1002","article-title":"Evaluation of posttraumatic venous sinus occlusion with CT venography","volume":"66","author":"Fujii Y","year":"2009","unstructured":"Fujii Y, , Tasaki O, , Yoshiya K, et al. Evaluation of posttraumatic venous sinus occlusion with CT venography. J Trauma, 2009; 66(4):1002\u20131006; doi: 10.1097\/TA.0b013e31819a0277discussion 1006;","journal-title":"J Trauma"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/02688697.2019.1699902"},{"issue":"6","key":"e_1_3_4_19_2","first-page":"e25877","article-title":"Cerebrospinal fluid diversion for refractory intracranial hypertension: A United Kingdom and Ireland survey on practice variation","volume":"14","author":"Chowdhury YA","year":"2022","unstructured":"Chowdhury YA, , Stevens AR, , Soon WC, et al. Cerebrospinal fluid diversion for refractory intracranial hypertension: A United Kingdom and Ireland survey on practice variation. Cureus, 2022; 14(6):e25877; doi: 10.7759\/cureus.25877","journal-title":"Cureus"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/02688697.2017.1297765"},{"key":"e_1_3_4_21_2","unstructured":"Oxford Centre for Evidence-Based Medicine. Oxford centre for evidence-based medicine: Levels of evidence. 2009. 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