title: Successful rheolytic mechanical thrombectomy of cerebral venous thrombosis in a pediatric patient.
abstract: Thrombosis of the deep cerebral venous system is associated with a significant risk of morbidity and mortality in the pediatric population. Anticoagulation is the mainstay of current treatment of cerebral venous thrombosis (CVT). Systemic or local delivery of thrombolytics may be used in cases of inexorable progression of CVT and neurological compromise. Mechanical thrombectomy has been described in adult patients with CVT and may offer the added advantage of accelerated thrombolysis in the face of rapid clinical deterioration. In this report the authors describe the use of rheolytic mechanical thrombectomy in a pediatric patient with extensive dural sinus and deep CVT.
authors.affiliation: Department of Neurosurgery, Illinois Neurological Institute, University of Illinois College of Medicine, Peoria, Illinois, USA. stelram@hotmail.com
authors.forename: Stylianos K
authors.initials: SK
authors.lastname: Rammos
authors.forename: Jayme
authors.initials: J
authors.lastname: Phillips
authors.forename: Julian
authors.initials: J
authors.lastname: Lin
authors.forename: Kenneth
authors.initials: K
authors.lastname: Moresco
authors.forename: Sean
authors.initials: S
authors.lastname: Meagher
mesh_terms: D002533:Cerebral Angiography; D002675:Child, Preschool; D004388:Dura Mater / Q000098:blood supply*; D006261:Headache / Q000209:etiology; D018056:Hemorheology; D006801:Humans; D033183:Interdisciplinary Communication; D020767:Intracranial Thrombosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D009325:Nausea / Q000209:etiology; D010348:Patient Care Team; D017131:Thrombectomy / Q000295:instrumentation / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D014839:Vomiting / Q000209:etiology