alexa Endovascular Intracranial Micro-Catheter Placement to T
ISSN: 2155-9562

Journal of Neurology & Neurophysiology
Open Access

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Case Report

Endovascular Intracranial Micro-Catheter Placement to Treat Cavernous Sinus Thrombosis

Shahid M Nimjee*, Honey Jones, Sankalp Gohkale, Carmen Graffagnino, Ali R Zomorodi and Tony P Smith

Department Neurological surgery, The Ohio State University Wexner Medical Center, USA

*Corresponding Author:
Shahid M Nimjee
Department Neurological surgery
The Ohio State University Wexner Medical Center
N-1014 Doan Hall 410 W. 10th Avenue Columbus, OH 43235, USA
E-mail: [email protected]

Received: July 24, 2015; Accepted: August 25, 2015; Published: August 29, 2015

Citation: Nimjee SM, Jones H, Gohkale S, Graffagnino C, Zomorodi AR, et al. (2015) Endovascular Intracranial Micro-Catheter Placement to Treat Cavernous Sinus Thrombosis. J Neurol Neurophysiol 6:309.doi:10.4172/2155-9562.1000309

Copyright: © 2015 Nimjee SM et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Cavernous sinus thrombosis (CST) is a rare disease that can have devastating morbidity. Despite medical
therapy, in rare circumstances, patients will continue to decline. We present a patient who complained of headache,
left eye pain and vision loss. Magnetic resonance imaging revealed bilateral superior ophthalmic vein and cavernous
sinus thrombosis. She was treated with antibiotics and intravenous heparin. Despite a therapeutic activated partial
thromboplastic time, she progressed to bilateral blindness. Microcatheter transvenous pharmacological thrombolysis
with recombinant tissue plasminogen activator (rTPA) was performed including overnight continuous infusion. She
recovered light perception the following morning and left the hospital neurologically intact. This case demonstrates
that in patients with cerebral deep venous thrombosis that decline despite medical therapy, endovascular
intervention is a viable option

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