PMID: 9537663Apr 16, 1998Paper

Sagittal sinus thrombosis following minor head injury treated with continuous urokinase infusion

Surgical Neurology
M D D'AliseM Horowitz

Abstract

Cerebral dural sinus thrombosis is a rare clinical entity. Symptoms may be vague, and left untreated thrombus progression may be fatal because of venous congestion and infarction. We report a case of post-traumatic dural sinus thrombosis treated with selective transfemoral, transvenous catheterization and infusion of urokinase. Urokinase infusion into the dural venous sinuses using a microcatheter introduced from the femoral vein was successfully carried out, and patency of the venous sinuses was reestablished. Venous sinus thrombosis can be an overlooked sequel to head injury. If the diagnosis is entertained, prompt performance of appropriate imaging studies should be instituted so that therapy can be initiated. The use of selective sinus catheterization using microcatheter techniques with instillation of urokinase is an excellent mode of therapy that should be considered in any patient with symptomatic occlusion.

References

Mar 1, 1975·British Medical Journal·F DuckertH E Schmitt
Nov 1, 1979·Stroke; a Journal of Cerebral Circulation·B EstanolJ Pizzuto
Oct 1, 1992·Acta Neurologica Scandinavica·J M DiazM Maccario
May 1, 1992·Journal of Neurology, Neurosurgery, and Psychiatry·A Alfaro
Sep 7, 1991·Lancet·K M EinhäuplP Schmiedek
Jan 1, 1991·Neurosurgery·S L BarnwellG B Hieshima
Apr 1, 1991·The American Journal of the Medical Sciences·R M Fincher, T R Swift
Feb 1, 1988·Journal of Neurosurgery·J A ScottG J Becker
Mar 1, 1985·Stroke; a Journal of Cerebral Circulation·M G BousserP Castaigne
May 2, 1970·Lancet·E A AtkinsonK W Heathfield
Jan 1, 1968·Neurologia Medico-chirurgica·H A Krayenbühl
Dec 12, 1970·British Medical Journal·A AmeryM Verstraete
Dec 1, 1970·Journal of Neurosurgery·M C Shende, H Lourie
Nov 1, 1968·American Heart Journal·E Genton, P S Wolf
Oct 1, 1984·Journal of Pediatric Surgery·A L Winthrop, D E Wesson
Jan 1, 1982·The Journal of Pediatrics·D DelaplaneC E Hunt
Apr 1, 1993·Neurosurgery·J M TahaE C Prenger
Mar 1, 1953·Brain : a Journal of Neurology·H J M BARNETT, H H HYLAND
Oct 2, 1915·British Medical Journal·G Holmes, P Sargent
Apr 4, 1942·British Medical Journal·F R Stansfield

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Citations

May 29, 2004·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Natarajan Muthukumar
Sep 21, 2007·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·A C FonsecaJ M Ferro
Mar 31, 2009·Journal of Neurosurgery·Frank S BishopRichard H Schmidt
Nov 3, 2009·Neurosurgical Focus·Maryam RahmanJ Mocco
Jul 21, 1999·Journal of Neurosurgery·M F PhilipsR W Hurst
Jun 12, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·André Beer-FurlanManoel Jacobsen Teixeira
Sep 10, 2003·The Kaohsiung Journal of Medical Sciences·Yuan-Han YangChing-Kuan Liu
Apr 8, 2014·Neurologic Clinics·Randolph W Evans
Nov 30, 2010·Radiologic Clinics of North America·Tarek A HijazMatthew T Walker
Nov 6, 2008·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Sara E HockerLotfi Hacein-Bey
Mar 19, 2008·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·O K SujithA S Girija
Apr 23, 2009·International Journal of Stroke : Official Journal of the International Stroke Society·Mohammad SaadatniaGilda Kinani Mehr
Jan 11, 2007·The Journal of Obstetrics and Gynaecology Research·Vildan AltunayogluRemzi Adnan Akdogan
Jan 5, 2002·Emergency Medicine Clinics of North America·G A Volturo, R J Repeta
Dec 7, 2007·Surgical Neurology·Yutaka ShigemoriYoichi Katayama
May 7, 2016·Journal of Neurosurgery. Pediatrics·Mony BeniflaIlan Shelef
Feb 7, 2018·Headache·Randolph W Evans
Jul 8, 2000·Journal of the Royal Society of Medicine·S Renowden

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