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CASE REPORT
Combined use of Solitaire FR and Penumbra devices for endovascular treatment of cerebral venous sinus thrombosis in a child
  1. Hamza Shaikh1,
  2. Bryan Anthony Pukenas1,
  3. Adeka McIntosh2,
  4. Daniel Licht3,
  5. Robert W Hurst1
  1. 1Department of Neuroradiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA
  2. 2Department of Interventional Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
  3. 3Department of Neurology, Children's Hospital of Philadelphia, Philadelphia 19104, Pennsylvania, USA
  1. Correspondence to Dr Hamza Shaikh, Department of Neuroradiology, University of Pennsylvania, 3400 Spruce Street, 2 Dulles Room 219, Philadelphia, PA, USA; hshaikh{at}hotmail.com

Abstract

A pre-teenager with newly diagnosed ulcerative colitis presented to an emergency department with acute headache, altered mental status and bilateral lower extremity weakness. Head CT demonstrated acute thrombus in the vein of Galen and straight sinus, and the patient was started on a heparin infusion. The patient clinically deteriorated and became unresponsive. In view of the rapid deterioration despite anticoagulation therapy, the patient was taken for endovascular treatment. A novel endovascular approach was performed with combined use of Solitaire FR and Penumbra devices to enhance access to the straight sinus and to limit intraprocedural blood loss. The post-treatment head CT demonstrated a decrease in hyperattenuation within the vein of Galen and straight sinus. The neurologic status improved within 24 h. The patient was discharged home with a normal neurologic examination.

  • Thrombectomy
  • Vein
  • Thrombolysis
  • Technique
  • Device

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