Abstract
Investigators at Frenchay Hospital, Bristol, UK, retrospectively reviewed case notes and imaging in 9 consecutive children (age range 18 months to 16 years) with cerebral venous sinus thrombosis (CVST) who were treated using endovascular methods after medical therapy with heparin had failed.
Highlights
Endovascular therapy may have a role in treatment of cerebral venous sinus thrombosis (CVST) in children when conventional medical therapy has failed and outcome is poor and deteriorating
Children with CVST and severe neurological deterioration despite anticoagulation may have a favorable response to endovascular treatment
Larger scale studies are required to establish the role of endovascular treatment of deteriorating cases of pediatric CVST
Summary
ENDOVASCULAR TREATMENT OF CEREBRAL VENOUS SINUS THROMBOSIS Investigators at Frenchay Hospital, Bristol, UK, retrospectively reviewed case notes and imaging in 9 consecutive children (age range 18 months to 16 years) with cerebral venous sinus thrombosis (CVST) who were treated using endovascular methods after medical therapy with heparin had failed. One had raised intracranial pressure with progressive cranial nerve palsies, 5 had suffered hemiparesis, 3 had suffered seizures, and one had a fluctuating hemiparesis at time of endovascular treatment.
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