title: A patient with deep cerebral venous sinus thrombosis in whom neuroendovascular therapy was effective.
abstract: A 63-year-old man presented with aphasia. A computed tomographic scan of the head revealed hemorrhagic infarction in the left temporal lobe. Magnetic resonance venography (MRV) revealed no flow from the straight sinus and left transverse sinus to the sigmoid sinus, indicating cerebral venous sinus thrombosis (CVST). Because of rapidly deteriorating consciousness despite heparin infusion, neuroendovascular therapy was performed, recanalization was achieved, and the level of consciousness improved. In Western countries, neuroendovascular therapy is often aggressively performed in patients with worsening symptoms despite anticoagulation. However, in Japan, such reports are extremely rare. We recommend neuroendovascular therapy for deep CVST resistant to anticoagulant therapy.
authors.affiliation: Department of Neurology and Cerebrovascular Medicine, Saitama Medical University International Medical Center, Saitama, Japan. ideguchi@saitama-med.ac.jp
authors.forename: Ichiro
authors.initials: I
authors.lastname: Deguchi
authors.forename: Tomohisa
authors.initials: T
authors.lastname: Dembo
authors.forename: Yuji
authors.initials: Y
authors.lastname: Kato
authors.forename: Fumitaka
authors.initials: F
authors.lastname: Yamane
authors.forename: Shoichiro
authors.initials: S
authors.lastname: Ishihara
authors.forename: Norio
authors.initials: N
authors.lastname: Tanahashi
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D001037:Aphasia / Q000209:etiology; D002533:Cerebral Angiography / Q000379:methods; D004351:Drug Resistance; D057510:Endovascular Procedures; D006801:Humans; D020300:Intracranial Hemorrhages / Q000209:etiology; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D010690:Phlebography / Q000379:methods; D012851:Sinus Thrombosis, Intracranial / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D015912:Thrombolytic Therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants