Taniguchi Syunsuke, Harada Kei, Kajihara Masahito, Fukuyama Kozo
Department of Neurosurgery, Fukuoka Wajiro Hospital, Fukuoka, Japan.
Interv Neuroradiol. 2017 Dec;23(6):605-608. doi: 10.1177/1591019917730335. Epub 2017 Sep 24.
Cerebral venous sinus thrombosis (CVST) is generally treated with anticoagulation therapy, however, endovascular therapy is considered for refractory cases. A 42-year-old woman presented with a progressive disturbance in consciousness, and diagnosed CVST in the straight sinus (SS). Recanalization of SS was achieved by emergent thrombectomy using aspiration catheter and stent-retriever system, and her level of consciousness improved immediately. The combined use of them aided the removal of the thrombus located in the SS.
大脑静脉窦血栓形成(CVST)通常采用抗凝治疗,然而,对于难治性病例则考虑采用血管内治疗。一名42岁女性出现进行性意识障碍,被诊断为直窦(SS)的CVST。通过使用抽吸导管和支架取栓系统进行紧急取栓实现了SS再通,她的意识水平立即得到改善。两者联合使用有助于清除位于SS的血栓。