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J Stroke Cerebrovasc Dis · Nov 2012
Case ReportsA patient with deep cerebral venous sinus thrombosis in whom neuroendovascular therapy was effective.
- Ichiro Deguchi, Tomohisa Dembo, Yuji Kato, Fumitaka Yamane, Shoichiro Ishihara, and Norio Tanahashi.
- Department of Neurology and Cerebrovascular Medicine, Saitama Medical University International Medical Center, Saitama, Japan. ideguchi@saitama-med.ac.jp
- J Stroke Cerebrovasc Dis. 2012 Nov 1; 21 (8): 911.e5-8.
AbstractA 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.Copyright © 2012 National Stroke Association. Published by Elsevier Inc. All rights reserved.
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