Open thrombectomy combined with thrombolysis in massive intracranial sinus thrombosis.
A case of complete thrombosis of the superior sagittal sinus in a pregnant women with multiple haemorrhages and hydrocephalus is described. Due to acute onset and progressive neurological deterioration, the decision was taken to remove the clot surgically. A sinotomy was performed removing the thrombotic material followed by local infusion of tissue plasminogen activator (t-PA). The combination of surgical removal and thrombolysis was life-saving for this young patient.
Department of Neurosurgery and Cardiology, Al Hada Military Hospital, Taif, Saudi Arabia.
H
H
Kourtopoulos
M
M
Christie
B
B
Rath
D000293:Adolescent; D002543:Cerebral Hemorrhage / Q000209:etiology; D003131:Combined Modality Therapy; D005260:Female; D006493:Heparin / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D006849:Hydrocephalus / Q000150:complications; D007427:Intracranial Pressure; D012851:Sinus Thrombosis, Intracranial / Q000150:complications / Q000188:drug therapy* / Q000601:surgery*; D017131:Thrombectomy / Q000379:methods*; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed
D006493:Heparin; D010959:Tissue Plasminogen Activator