Intact neurological outcome after neurointerventional treatment for intracranial venous thrombosis with straight sinus involvement

Sidhu, M. and Footitt, D. and Donaldson, I. and Hughes, S. and Wuppalapati, S. and Emsley, H. C. A. (2013) Intact neurological outcome after neurointerventional treatment for intracranial venous thrombosis with straight sinus involvement. BMJ Case Reports, 2013. ISSN 1757-790X

Abstract

The role of neurointerventional treatment, including local thrombolysis, for intracranial venous thrombosis (ICVT) currently remains uncertain. We describe a case of postpartum ICVT involving the straight sinus, with rapid neurological deterioration and progressive thrombosis, despite anticoagulation. She underwent multimodality neurointerventional treatment involving attempted mechanical clot disruption, microcatheter suction, intrathrombus thrombolysis and microballoon disruption and clot retrieval. The patient achieved a full clinical recovery, with radiological evidence of recanalisation at follow-up.