Urgent mechanical thrombectomy unlocked the devastating acute superior sagittal sinus thrombosis complicated with acute status epilepticus: Case report

IF 0.4 Q4 CLINICAL NEUROLOGY Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Pub Date : 2023-11-20 DOI:10.1016/j.inat.2023.101926

Nopporn Lekcharoensombat , Ekachat Chanthanaphak , Atthaporn Boongird

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Abstract

The mainstay treatment of uncomplicated cerebral venous sinus thrombosis (CVST) is an anticoagulant medication and gets rid of the cause of the disease as soon as possible. Endovascular treatment is recommended in complicated cases without definite standard guidelines for timing of intervention. In contrast to, the guideline and timing of intervention for acute convulsive status epilepticus.

With predictable of the critically complicated CVST with acute status epilepticus and bifrontal hemorrhages, urgent thrombectomy within 48 h after medical failure is able to restoration of venous flow in time for rescue the edematous brain, stop further venous bleeding, ease seizure controlled and finally lead to rapidly recovery of the devastating conditions with an excellent outcome.

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紧急机械取栓解除急性上矢状窦血栓合并急性癫痫持续状态1例

无并发症脑静脉窦血栓形成(CVST)的主要治疗方法是抗凝药物治疗和尽快消除病因。在没有明确的介入时间标准指导的复杂病例中，推荐血管内治疗。相反，急性惊厥性癫痫持续状态的干预指南和时机。危重复杂的CVST伴急性癫痫持续状态及双额叶出血，可在用药失败后48 h内紧急取栓，及时恢复静脉血流，抢救脑水肿，阻止静脉进一步出血，缓解癫痫控制，最终使病情迅速恢复，预后良好。

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