Intracranial venous thrombosis in the clinical treatment of 11 cases.docVIP

 PAGE \* MERGEFORMAT 11 Intracranial venous thrombosis in the clinical treatment of 11 cases [Key Words] Intracranial venous sinus; thrombosis; arteries thrombolysis; Intervention Intracranial venous thrombosis (Cerebral venous thromboses CVT) as a special type of cerebrovascular disease, both in the pathogenesis or in the imaging performance are different from the arterial system thrombosis. It has long been that the occlusion of cerebral venous thrombosis rare disease But with the development of imaging and reported cases in recent years gradually increased, intracranial venous thrombosis for the growing awareness, the development of neurological interventional radiology, making use of intracranial thrombosis after endovascular treatment safer effective. The use of cerebral venous sinus thrombosis after endovascular thrombolysis is becoming one of the main choice of clinical .2004 3 months to July 2008 in our hospital with urokinase via carotid artery injection of CVT 11 cases satisfactory outcome, the results reported below. Materials and Methods 1. General Information The group of 11 cases, 7 were males and 4 females, aged 40 to 73 years old, flat 55.0 years of age. From the onset of symptoms to admission time of 10 days to 3 months, mean (43.4 + -5.9) days . Laboratory tests: blood routine, out, clotting time and prothrombin time and activity were within the normal range. lumbar puncture manometry 1.96 ~ 3.95 kPa, the average (2.70 + -0.58) kPa. imaging head CT, MRI, DSA inspection sinus involvement. 2. Treatment (1) complete preoperative blood analysis, liver and kidney function, blood glucose, blood lipids, plasma D dimer, a, coagulation; 7 days before surgery oral aspirin (300 mg / d) or ticlopidine pyridine (250 mg / d); 4 h preoperative fasting, 1 / 2 h intramuscular injection of pentobarbital sodium 0.2 g, intravenous iodine allergy testing, skin preparation groin area, routinely given 20% mannitol, glycerol and fructose dehydration