[Diagnosis and endovascular treatment of multiple thrombosis in cerebral venous sinus].
OBJECTIVE
To study 12 cases of multiple thrombosis in cerebral venous sinuses and the diagnosis and endovascular therapy.


METHODS
The long T2 and short T1 signals in the related region of multiple venous sinuses on MR were important characteristics for the diagnosis before angiography. In the 12 cases, the treatment consisted of intermittent injection of urokinase via common carotid artery and oral administration of warfarin.


RESULTS
Intracranial pressure of 11 cases reduced to lower than 300 mm H2O and clinical deficits were markedly improved in 10 days. Re-angiography of 4 cases found partial recanalization in 2 in one week after therapy.


CONCLUSIONS
Intraoarterial thrombolysis combined with general anticoagulation in the treatment of multiple thrombosis in cerebral venous sinuses may be an effective meansure.
Department Neurosurgery, General Hospital of PLA, Beijing.
B
B
Li
J
J
Zhang
L
L
Yin
D000293:Adolescent; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D017536:Carotid Artery, Common; D005260:Female; D006801:Humans; D007269:Injections, Intra-Arterial; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012851:Sinus Thrombosis, Intracranial / Q000175:diagnosis* / Q000188:drug therapy; D015912:Thrombolytic Therapy; D014057:Tomography, X-Ray Computed; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage*; D014859:Warfarin / Q000627:therapeutic use*
D000925:Anticoagulants; D014859:Warfarin; D014568:Urokinase-Type Plasminogen Activator