Aoki N, Uchinuno H, Tanikawa T, Kagawa M, Takakura K
Department of Neurosurgery, Tokyo Women's Medical College, Japan.
Acta Neurochir (Wien). 1997;139(4):332-5. doi: 10.1007/BF01808829.
We recently encountered a patient with thrombosis of the superior sagittal sinus of an idiopathic cause. The patient was treated initially with combined local thrombolytic therapy through the burr hole over the superior sagittal sinus and systemic anticoagulant therapy. Continuous ventricular drainage and hyperbaric oxygenation therapy were used to control the increased intracranial pressure. The superior sagittal sinus was successfully recanalized. Whereas the patient suffered a complication with subacute subdural haematoma, he was successfully treated with the combination of these therapies. The rationale and approach are discussed.
我们最近遇到一名因特发性原因导致上矢状窦血栓形成的患者。该患者最初接受了通过上矢状窦上方钻孔进行的局部溶栓联合全身抗凝治疗。采用持续脑室引流和高压氧治疗来控制颅内压升高。上矢状窦成功再通。尽管该患者出现了亚急性硬膜下血肿的并发症，但通过这些治疗方法的联合应用，他得到了成功治疗。本文讨论了其原理和治疗方法。
