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.
MeSH terms
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Adolescent
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Cerebral Hemorrhage / etiology
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Combined Modality Therapy
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Female
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Heparin / administration & dosage
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Heparin / therapeutic use
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Humans
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Hydrocephalus / complications
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Intracranial Pressure
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Sinus Thrombosis, Intracranial / complications
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Sinus Thrombosis, Intracranial / drug therapy*
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Sinus Thrombosis, Intracranial / surgery*
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Thrombectomy / methods*
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Tissue Plasminogen Activator / administration & dosage
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Tissue Plasminogen Activator / therapeutic use*
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Tomography, X-Ray Computed
Substances
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Heparin
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Tissue Plasminogen Activator