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Case Reports
. 2011:2011:815618.
doi: 10.1155/2011/815618. Epub 2011 Jul 9.

Delay in diagnosis of cerebral venous and sinus thrombosis: successful use of mechanical thrombectomy and thrombolysis

Christopher T Shah  1 , Jason J Rizqallah, Oladoyin Oluwole, Aleksandrs Kalnins, John N Sheagren
Affiliations
Case Reports

Delay in diagnosis of cerebral venous and sinus thrombosis: successful use of mechanical thrombectomy and thrombolysis

Christopher T Shah et al. Case Rep Med. 2011.

Abstract

Cerebral venous and sinus thrombosis is a relatively rare condition with a variable presentation that can translate into a difficult workup and a delay in diagnosis and treatment. We describe the successful use of mechanical thrombectomy and thrombolysis in the case of an eighteen-year-old woman that presented with progressive thrombosis of the jugular veins and dural sinuses despite adequate anticoagulation. Our case highlights the need for clinicians to include CVST in the initial differential diagnosis of patients in order to prevent delays and poor outcomes.

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Figures

Figure 1
Figure 1
MRI of brain with contrast demonstrating fluid and enhancement within the mastoids, more extensive on the left, suggestive of mastoiditis.
Figure 2
Figure 2
MRV of head without contrast demonstrating absence of normal flow-related enhancement within the sagittal, transverse, and left sigmoid sinus suggestive of dural sinus thrombosis. There are small adjacent dural vessels in proximity to these thrombosed sinuses.
See this image and copyright information in PMC

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