Thursday, July 3, 2014

Endovascular management of cerebral venous sinus thrombosis

Endovascular management of cerebral venous sinus thrombosis
Journal of Neurosurgery: Neurosurgical FOCUS: Table of Contents

Neurosurgical Focus, Volume 37, Issue V1Supplement, Page 1-1, July 2014.
Cerebral venous sinus thrombosis (CVST) is characterized by formation of widespread thrombus within the cerebral venous sinus system. CVST can cause venous hypertension, venous infarcts, hemorrhage and seizures. It is managed in most cases with systemic anticoagulation through the use of heparin to resolve the thrombus. Patients that demonstrate clinical deterioration while on heparin are often treated with endovascular strategies to recanalize the sinuses. We present the case of a patient with widespread CVST, involving his superior sagittal sinuses and bilateral transverse sigmoid sinuses, who was treated with a combination of endovascular therapies. The video can be found here: http://youtu.be/w3wAGlT7h8c.

Original Article: http://thejns.org/doi/abs/10.3171/2014.V2.FOCUS14186?ai=rw&mi=3ba5z2&af=R

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