Successful rheolytic mechanical thrombectomy of cerebral venous thrombosis in a pediatric patient

Case report

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  • 1 Department of Neurosurgery, Illinois Neurological Institute, University of Illinois College of Medicine; and
  • 2 Department of Radiology, OSF Saint Francis Medical Center, Peoria, Illinois
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Thrombosis of the deep cerebral venous system is associated with a significant risk of morbidity and mortality in the pediatric population. Anticoagulation is the mainstay of current treatment of cerebral venous thrombosis (CVT). Systemic or local delivery of thrombolytics may be used in cases of inexorable progression of CVT and neurological compromise. Mechanical thrombectomy has been described in adult patients with CVT and may offer the added advantage of accelerated thrombolysis in the face of rapid clinical deterioration. In this report the authors describe the use of rheolytic mechanical thrombectomy in a pediatric patient with extensive dural sinus and deep CVT.

Abbreviations used in this paper:CVT = cerebral venous thrombosis; ICV = internal cerebral vein; IJV = internal jugular vein.

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Contributor Notes

Address correspondence to: Stylianos K. Rammos, M.D., Arkansas Neuroscience Institute, 5 St. Vincent Circle, Suite 503, Little Rock, Arkansas 72205-5499. email: stelram@hotmail.com.

Please include this information when citing this paper: published online November 30, 2012; DOI: 10.3171/2012.11.PEDS12176.

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