title: Combined use of Solitaire FR and Penumbra devices for endovascular treatment of cerebral venous sinus thrombosis in a child.
abstract: A pre-teenager with newly diagnosed ulcerative colitis presented to an emergency department with acute headache, altered mental status and bilateral lower extremity weakness. Head CT demonstrated acute thrombus in the vein of Galen and straight sinus, and the patient was started on a heparin infusion. The patient clinically deteriorated and became unresponsive. In view of the rapid deterioration despite anticoagulation therapy, the patient was taken for endovascular treatment. A novel endovascular approach was performed with combined use of Solitaire FR and Penumbra devices to enhance access to the straight sinus and to limit intraprocedural blood loss. The post-treatment head CT demonstrated a decrease in hyperattenuation within the vein of Galen and straight sinus. The neurologic status improved within 24 h. The patient was discharged home with a normal neurologic examination.
authors.affiliation: Department of Neuroradiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
authors.forename: Hamza
authors.initials: H
authors.lastname: Shaikh
authors.forename: Bryan Anthony
authors.initials: BA
authors.lastname: Pukenas
authors.forename: Adeka
authors.initials: A
authors.lastname: McIntosh
authors.forename: Daniel
authors.initials: D
authors.lastname: Licht
authors.forename: Robert W
authors.initials: RW
authors.lastname: Hurst
mesh_terms: D002533:Cerebral Angiography; D002550:Cerebral Veins / Q000000981:diagnostic imaging*; D002648:Child; D003093:Colitis, Ulcerative / Q000150:complications; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D012851:Sinus Thrombosis, Intracranial / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D017131:Thrombectomy / Q000295:instrumentation / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Device; Technique; Thrombectomy; Thrombolysis; Vein