Acute thrombosis of the intracranial dural sinus: direct thrombolytic treatment.

Spontaneous Resolution of a Fetal Dural Sinus Thrombosis: One Case Report and Review of the Literatures

MR staging of acute dural sinus thrombosis: correlation with venous pressure measurements and implications for treatment and prognosis.

PURPOSE To correlate parenchymal brain changes, venous sinus pressure measurements, and outcome in 29 patients with acute dural sinus thrombosis. METHODS A retrospective review of 29 patients with angiographically proved acute dural sinus thrombosis was made from January 1989 to December 1993. MR examinations were performed on either a 0.5- or 1.5-T superconductive scanner in multiple planes....

Direct endovascular thrombolytic therapy for dural sinus thrombosis: infusion of alteplase.

PURPOSE To evaluate the efficacy, safety, and results of direct thrombolytic therapy in intracranial dural sinus thrombosis by infusion of alteplase (recombinant tissue plasminogen activator). METHODS Nine patients were treated during a 2-year period for intracranial dural sinus thrombosis. A microcatheter was placed directly into the thrombus in the dural sinus via the transfemoral route. Th...

Direct thrombolytic therapy for superior sagittal sinus thrombosis.

Dural venous sinus thrombosis (DVST) in the neonatal period has a spectrum of clinical and radiologic findings. At the present time, the treatment for venous sinus thrombosis is mainly one of supportive therapy. In a patient with documented DVST, whose clinical status is deteriorating despite conventional supportive therapy, there may be a rationale for more aggressive therapy. We report a case...

Treatment of dural sinus thrombosis by urokinase infusion.

PURPOSE To gain a preliminary understanding of the role of thrombolytic therapy for the thrombosed dural sinus, we retrospectively reviewed our initial experience. METHODS Seven patients, ages 25 to 71, who presented with symptomatic dural sinus thrombosis and who failed a trial of medical therapy were treated with direct infusion of urokinase into the thrombosed sinus. Patients received urok...