E-052 mechanical thrombectomy of the superior sagittal sinus using the penumbra device for cerebral venous thrombosis: a case report

This article represents the discussion of a clinical case of superior sagittal sinus thrombosis as a focal point of fatal pulmonary embolism. Pulmonary embolism is a life-threatening condition, with a mortality rate of up to 40%. The direct source of pulmonary embolism is deep vein thrombosis of the lower extremities and pelvis in 80–90% of all cases. The veins of the upper extremities and venous heart cause it less often. Pulmonary embolism in patients with cerebral venous thrombosis is observed in 1.4% of patients.Cerebral venous thrombosis is a cerebrovascular disease manifested by venous outflow disorders due to acute occlusion of the sinuses and veins of the brain. It requires immediate treatment in order to prevent the development of intracranial hemorrhage, venous infarction, disability and death. Cerebral venous thrombosis accounts for approximately 0.5% of all cases of cerebrovascular disease worldwide. In contrast to ischemic stroke, cerebral venous thrombosis is more common in younger patients. Currently, the diagnosis of cerebral venous thrombosis is based on neuroimaging data, and timely treatment leads to a decrease in disability and mortality.

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Superior Sagittal Sinus and Cerebral Cortical Venous Thrombosis Caused by Congenital Protein C Deficiency. Case Report.

Neurologia medico-chirurgica ◽

10.2176/nmc.40.645 ◽

2000 ◽

Vol 40 (12) ◽

pp. 645-649 ◽

Cited By ~ 7

Author(s):

Seikou KUWAHARA ◽

Tomoki ABE ◽

Shigetoshi UGA ◽

Koreaki MORI

Keyword(s):

Case Report ◽

Venous Thrombosis ◽

Protein C ◽

Superior Sagittal Sinus ◽

Protein C Deficiency ◽

Sagittal Sinus ◽

Cortical Venous Thrombosis ◽

Congenital Protein C Deficiency

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Anti-MOG Antibody Syndrome and Cerebral Sinovenous Thrombosis: A Cause–Effect Hypothesis

Journal of Pediatric Neurology ◽

10.1055/s-0040-1716345 ◽

2020 ◽

Author(s):

Alessandra Fontana ◽

Filippo Greco ◽

Pierluigi Smilari ◽

Andrea D. Praticò ◽

Agata Fiumara ◽

...

Keyword(s):

Venous Thrombosis ◽

Cerebral Venous Thrombosis ◽

Superior Sagittal Sinus ◽

Demyelinating Diseases ◽

Sagittal Sinus ◽

Cerebral Sinovenous Thrombosis ◽

Sinovenous Thrombosis ◽

Clinical Relationship ◽

Effect Hypothesis ◽

The Right

AbstractCerebral venous thrombosis is an uncommon event of stroke in childhood. Its origin is multifactorial and often it manifests with nonspecific symptoms that may overlap with underlying predisposing factors. Anti–myelin oligodendrocyte glycoprotein (MOG) antibody syndrome is a group of recently recognized acquired demyelinating diseases that occur more commonly in children, usually, with a favorable outcome. The association between cerebral venous thrombosis and demyelinating syndrome has been reported but their clinical relationship is matter of debate and various hypotheses have been advanced including intravenous (IV) steroid therapy and/or the consequence of a shared inflammatory-thrombotic process. Herein, we report the case of a child with anti-MOG antibody syndromes who developed a thrombosis of the superior sagittal sinus and of the right Trolard's vein.

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Cerebral Venous Thrombosis in the Superior Sagittal Sinus as a Rare Cause of a Paroxysmal Kinetic Tremor

Case Reports in Neurology ◽

10.1159/000455022 ◽

2017 ◽

Vol 8 (3) ◽

pp. 276-281 ◽

Cited By ~ 1

Author(s):

Kei Murao ◽

Shuji Arakawa ◽

Yoshihiko Furuta ◽

Masahiro Shijo ◽

Tetsuro Ago ◽

...

Keyword(s):

Venous Thrombosis ◽

Cerebral Venous Thrombosis ◽

Clinical Presentation ◽

Superior Sagittal Sinus ◽

Epileptic Seizures ◽

Repetitive Movement ◽

Sagittal Sinus ◽

Kinetic Tremor ◽

History Of ◽

The Common

Cerebral venous thrombosis (CVT) has a broad spectrum of clinical presentation compared to arterial etiology. Seizure is one of the common symptoms and is more frequent than in other stroke types. Hence, transient neurological symptoms in CVT patients are usually due to epileptic seizures, while transient repetitive movement disorder is extremely rare except as a complication of epilepsy. We report a case of CVT in the superior sagittal sinus with a 1-year history of paroxysmal kinetic tremor without evident epilepsy.

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Cerebral Venous Thrombosis in Two Patients with Spontaneous Intracranial Hypotension

Case Reports in Neurological Medicine ◽

10.1155/2014/528268 ◽

2014 ◽

Vol 2014 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

M. C. Garcia-Carreira ◽

D. Cánovas Vergé ◽

J. Branera ◽

M. Zauner ◽

J. Estela Herrero ◽

...

Keyword(s):

Venous Thrombosis ◽

Cerebral Venous Thrombosis ◽

Intracranial Hypotension ◽

Superior Sagittal Sinus ◽

Spontaneous Intracranial Hypotension ◽

Cerebrospinal Fluid Leak ◽

Cerebral Veins ◽

Cortical Vein ◽

Sagittal Sinus ◽

Fluid Leak

Although few patients with spontaneous intracranial hypotension develop cerebral venous thrombosis, the association between these two entities seems too common to be simply a coincidental finding. We describe two cases of spontaneous intracranial hypotension associated with cerebral venous thrombosis. In one case, extensive cerebral venous thrombosis involved the superior sagittal sinus and multiple cortical cerebral veins. In the other case, only a right frontoparietal cortical vein was involved. Several mechanisms could contribute to the development of cerebral venous thrombosis in spontaneous intracranial hypotension. When spontaneous intracranial hypotension and cerebral venous thrombosis occur together, it raises difficult practical questions about the treatment of these two conditions. In most reported cases, spontaneous intracranial hypotension was treated conservatively and cerebral venous thrombosis was treated with anticoagulation. However, we advocate aggressive treatment of the underlying cerebrospinal fluid leak.

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Mechanical Thrombectomy for Life-Threatening Cerebral Venous Thrombosis: A Case Report

Case Reports in Neurology ◽

10.1159/000507343 ◽

2020 ◽

Vol 12 (Suppl. 1) ◽

pp. 63-69

Author(s):

Kar Foo Lau ◽

Tsun-Haw Toh ◽

Khairul Azmi Abdul Kadir ◽

Mei-Ling Sharon Tai ◽

Kay Sin Tan

Keyword(s):

Case Report ◽

Venous Thrombosis ◽

Cerebral Venous Thrombosis ◽

Mechanical Thrombectomy ◽

Anticoagulation Therapy ◽

First Line ◽

Venous Flow ◽

Clinical Presentations ◽

Wide Range ◽

Life Threatening

Cerebral venous thrombosis (CVT) is a rare cause of stroke worldwide with a wide range of clinical presentations. Anticoagulation therapy has been regarded as the first line of management of CVT to prevent the progression of thrombosis and to re-establish the venous flow. We present a case of severe CVT who did not respond to conventional anticoagulation therapy but responded well to mechanical thrombectomy (MT). This report highlights the features of CVT to consider for early MT.

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Deep Cerebral Venous Thrombosis Associated with Oral Contraceptives: A Case Report

Journal of the Korean Radiological Society ◽

10.3348/jkrs.1998.39.4.667 ◽

1998 ◽

Vol 39 (4) ◽

pp. 667

Author(s):

Eun Ja Lee ◽

Sang Bong Lee ◽

Yeon Soo Lee ◽

Si Won Kang

Keyword(s):

Case Report ◽

Venous Thrombosis ◽

Oral Contraceptives ◽

Cerebral Venous Thrombosis ◽

Deep Cerebral Venous Thrombosis

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Cerebral venous thrombosis in a patient with Down syndrome and coronavirus disease 2019: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-021-02908-0 ◽

2021 ◽

Vol 15 (1) ◽

Author(s):

Henry Robayo-Amortegui ◽

Natalia Valenzuela-Faccini ◽

Cesar Quecano-Rosas ◽

Darlyng Zabala-Muñoz ◽

Michel Perez-Garzon

Keyword(s):

Risk Factors ◽

Down Syndrome ◽

Case Report ◽

Venous Thrombosis ◽

Cerebral Venous Thrombosis ◽

Epidemiological Data ◽

Thromboembolic Disease ◽

Hispanic Woman ◽

Case Presentation ◽

The World

Abstract Background The new coronavirus disease 2019 pandemic has spread throughout most of the world. Cerebral venous thrombosis is a rare thromboembolic disease that can present as an extrapulmonary complication in coronavirus disease 2019 infection. Case presentation We report the case of a Hispanic woman with Down syndrome who has coronavirus disease 2019 and presents as a complication extensive cerebral venous thrombosis. Conclusions Cerebral venous thrombosis is a rare thromboembolic disease that can present as an extrapulmonary complication in coronavirus disease 2019 infection. In the absence of clinical and epidemiological data, it is important to carry out further investigation of the risk factors and pathophysiological causes related to the development of cerebrovascular thrombotic events in patients with Down syndrome with coronavirus disease 2019 infection.

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