Extensive cerebral venous thrombosis associated with moderate hyperhomocyst(e)inemia and successfully treated with thrombolysis

被引：7

作者：

Chaves, C ^{[1
]}

Voetsch, B

Loscalzo, J

Caplan, L

Chavali, R

机构：

[1] Lahey Clin Fdn, Stroke Div, Dept Neurol, Burlington, MA 01805 USA

[2] Beth Israel Deaconess Med Ctr, Dept Neurol, Boston, MA USA

[3] Beth Israel Deaconess Med Ctr, Dept Radiol, Boston, MA USA

[4] Boston Univ, Sch Med, Whitaker Cardiovasc Inst, Boston, MA USA

[5] Boston Univ, Sch Med, Evans Dept Med, Boston, MA USA

来源：

CEREBROVASCULAR DISEASES | 2002年 / 13卷 / 03期

关键词：

cerebral thrombosis; hyperhomocysteinemia; thrombolysis;

D O I：

10.1159/000047779

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Cerebral venous thrombosis (CVT) is a relatively rare condition caused by multiple etiologies, usually secondary to hypercoagulable states. The optimal treatment is controversial, especially in the presence of hemorrhagic infarcts. We describe an unusual patient with extensive CVT associated with moderate hyperhomocyst(e)inemia who was aggressively treated with chemical and mechanical thrombolysis with an excellent outcome. Copyright (C) 2002 S. Karger AG, Basel.

引用

页码：214 / 216

页数：3

共 10 条

[1] Cerebral venous thrombosis - Nothing, heparin, or local thrombolysis? [J].

Bousser, MG .

STROKE, 1999, 30 (03) :481-483

[2]

BOUSSER MG, 1997, MAJOR PROBLEMS NEURO, V33, P47

[3] Endovascular treatment of dural sinus thrombosis with rheolytic thrombectomy and intra-arterial thrombolysis [J].

Chow, K ;

Gobin, YP ;

Saver, J ;

Kidwell, C ;

Dong, P ;

Viñuela, F .

STROKE, 2000, 31 (06) :1420-1425

[4]

den Heijer M, 1998, THROMB HAEMOSTASIS, V80, P874

[5] Association between high homocyst(e)ine and ischemic stroke due to large- and small-artery disease but not other etiologic subtypes of ischemic stroke [J].

Eikelboom, JW ;

Hankey, GJ ;

Anand, SS ;

Lofthouse, E ;

Staples, N ;

Baker, RI .

STROKE, 2000, 31 (05) :1069-1075

[6] HIGH PREVALENCE OF HYPERHOMOCYST(E)INEMIA IN PATIENTS WITH JUVENILE VENOUS THROMBOSIS [J].

FALCON, CR ;

CATTANEO, M ;

PANZERI, D ;

MARTINELLI, I ;

MANNUCCI, PM .

ARTERIOSCLEROSIS AND THROMBOSIS, 1994, 14 (07) :1080-1083

[7] Cerebral venous thrombosis - Combined intrathrombus rtPA and intravenous heparin [J].

Frey, JL ;

Muro, GJ ;

McDougall, CG ;

Dean, BL ;

Jahnke, HK .

STROKE, 1999, 30 (03) :489-494

[8] Plasma homocysteine as a risk factor for vascular disease - The European concerted action project [J].

Graham, IM ;

Daly, LE ;

Refsum, HM ;

Robinson, K ;

Brattstrom, LE ;

Ueland, PM ;

PalmaReis, RJ ;

Boers, GHJ ;

Sheahan, RG ;

Israelsson, B ;

Uiterwaal, CS ;

Meleady, R ;

McMaster, D ;

Verhoef, P ;

Witteman, J ;

Rubba, P ;

Bellet, H ;

Wautrecht, JC ;

deValk, HW ;

Luis, ACS ;

ParrotRoulaud, FM ;

Tan, KS ;

Higgins, I ;

Garcon, D ;

Medrano, MJ ;

Candito, M ;

Evans, AE ;

Andria, G .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1997, 277 (22) :1775-1781

[9]

MUDD SH, 1989, METABOLIC BASIS INHE, V1, P693

[10]

QUATTRONE A, HYPOFIBRINOLYTIC STA

← 1 →