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Open thrombectomy combined with thrombolysis in massive intracranial sinus thrombosis

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Summary

A case of complete thrombosis of the superior sagittal sinus in a pregnant woman with multiple haemorrhages and hydrocephalus is described. Due to acute onset and progressive neurological deterioration, the dicision 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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Authors and Affiliations

  1. Department of Neurosurgery and Cardiology, Al Hada Military Hospital, Taif, Saudi Arabia

    H. Kourtopoulos M.D., M. Christie & B. Rath

Authors
  1. H. Kourtopoulos M.D.
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  2. M. Christie
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  3. B. Rath
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Kourtopoulos, H., Christie, M. & Rath, B. Open thrombectomy combined with thrombolysis in massive intracranial sinus thrombosis. Acta neurochir 128, 171–173 (1994). https://doi.org/10.1007/BF01400670

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