36 111

Cited 0 times in

Three Cases of Dural Sinus Thrombosis Treated with Direct Thrombolysis Using Tissue Pasminogen Activator(t-PA)

Other Title
경막동내 Tissue Plasminogen Activator(t-PA) 투여로 치료한 경막동혈전증 환자 3례
Authors
배, 재천; 주, 인수; 허, 균; 김, 선용
Citation
Taehan Sin'gyŏngkwa Hakhoe chi : sin'gyŏnghak, 14(3):824-831, 1996
Journal Title
Taehan Sin'gyŏngkwa Hakhoe chi : sin'gyŏnghak; Journal of the Korean Neurological Association : neurology
ISSN
1225-70442288-985X
Abstract
Background and Objective:

@EN Dural sinus thrombosis (DST) is a rare disorder with many etiologies and unpredictable clinical courses. The optimal mode of treatment has not been well estabilished. With the advent of neuroradiological intervention, we have successfully performed the direct infusion of t PA into the venous sinus for the prompt lysis of thrombosis and subsequent clinical improvement.

@ES Methods:

@EN Three patients, presented with headache, vomiting or focal neurological deficits, were diagnosed as having dural sinus thrombosis by MRI. After the confirmation by angiogram with a superselective transfemoral catheter, a bolus of t-PA was injected

into the thrombosed portion of the dural sinuses, followed by a continuous t-PA infusion at a rate of 40mg/hr.

@ES Result:

@EN All three patients were clinically improved. Follow-up angiogram on the next day demonstrated recanalization of the thrombosed venous sinus. Two patients developed non-life threatening extracranial hemorrhage as a complication.

@ES Conclusion:

@EN Authors suggest that direct thrombolysis with t-PA is a very effective method of treatment in the early phase of DST. Further study is needed to decide the appropriate t-PA dosage to minimize the complication.
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurology
Files in This Item:
824-831.pdfDownload
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse