Open thrombectomy combined with thrombolysis in massive intracranial sinus thrombosis.

Kourtopoulos, H; Christie, M; Rath, B · Acta Neurochir (Wien) · 1994

case_report · Level V

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Abstract

A case of complete thrombosis of the superior sagittal sinus in a pregnant women with multiple haemorrhages and hydrocephalus is described. Due to acute onset and progressive neurological deterioration, the decision was taken to remove the clot surgically. A sinotomy was performed removing the thrombotic material followed by local infusion of tissue plasminogen activator (t-PA). The combination of surgical removal and thrombolysis was life-saving for this young patient.

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