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Titolo:
ISOLATED DEEP CEREBRAL VENOUS THROMBOSIS TREATED BY DIRECT ENDOVASCULAR THROMBOLYSIS
Autore:
GERSZTEN PC; WELCH WC; SPEARMAN MP; JUNGREIS CA; REDNER RL;
Indirizzi:
PRESBYTERIAN UNIV HOSP,DEPT NEUROL SURG,SUITE B-400,200 LOTHROP ST PITTSBURGH PA 15213 UNIV PITTSBURGH,SCH MED,DEPT NEUROL SURG,DIV NEURORADIOL PITTSBURGH PA 15261 UNIV PITTSBURGH,SCH MED,DEPT RADIOL,DIV NEURORADIOL PITTSBURGH PA 15261 UNIV PITTSBURGH,SCH MED,DEPT INTERNAL MED PITTSBURGH PA 15261
Titolo Testata:
Surgical neurology
fascicolo: 3, volume: 48, anno: 1997,
pagine: 261 - 266
SICI:
0090-3019(1997)48:3<261:IDCVTT>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
ANTITHROMBIN-III DEFICIENCY; DURAL SINUS THROMBOSIS; UROKINASE INFUSION; VEIN-THROMBOSIS; THROMBOEMBOLISM; THERAPY;
Keywords:
ANTITHROMBIN III DEFICIENCY; DURAL SINUS THROMBOSIS; FIBRINOLYSIS; UROKINASE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
P.C. Gerszten et al., "ISOLATED DEEP CEREBRAL VENOUS THROMBOSIS TREATED BY DIRECT ENDOVASCULAR THROMBOLYSIS", Surgical neurology, 48(3), 1997, pp. 261-266

Abstract

BACKGROUND Isolated thrombosis of the deep cerebral venous system is very rare and is associated with a poor prognosis. Antithrombin III (AT III) deficiency is a disorder of hypercoagulability associated with deep venous thrombosis and recurrent pulmonary emboli. We report a case of an 18-year-old man who presented with spontaneous thrombosis of the deep cerebral veins and straight dural sinus as the initial presentation of a previously undiagnosed AT III deficiency. METHODS The patient was managed using direct endovascular infusion of the fibrinolytic agent urokinase followed by intravenous heparin. RESULTS The techniquewas successful in establishing patency of the deep cerebral venous system. The patient experienced a good clinical outcome. CONCLUSIONS Direct endovascular thrombolysis is a potentially effective management strategy for isolated thrombosis of the deep cerebral venous system. (C)1997 by Elsevier Science Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/11/20 alle ore 16:10:06