Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
BMJ Case Rep. 2014 Feb 19;2014. pii: bcr2013011088. doi: 10.1136/bcr-2013-011088.

Combined use of Solitaire FR and Penumbra devices for endovascular treatment of cerebral venous sinus thrombosis in a child.

Author information

  • 1Department of Neuroradiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

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.

KEYWORDS:

Device; Technique; Thrombectomy; Thrombolysis; Vein

PMID:
24554672
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for HighWire
    Loading ...
    Write to the Help Desk