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Japanese Society for Intravascular Neosurgery, Interventional Neuroradiology, 2(21), p. 218-221, 2015

DOI: 10.1177/1591019915582000

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Neurological recovery after coma related to diffuse cerebral venous sinus thrombosis. Interest in thrombi-aspiration with Penumbra system

Journal article published in 2015 by Florent Gariel, Jerome Berge, Vincent Dousset ORCID
This paper is available in a repository.
This paper is available in a repository.

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Abstract

We report a young man with a history of deep coma secondary to an extensive superior sagittal sinus thrombosis despite full systemic anticoagulation. Endovascular treatment combining a 5 Max ACE reperfusion catheter (Penumbra) and Solitaire (Covidien) retrieval device permitted revascularization of the superior sagittal sinus with restoration of anterograde venous flow. This treatment led to the disappearance of cytotoxic edema on MRI and to a neurological improvement with a modified Rankin scale score of 2 after two months. Our experience shows that this technique provides a useful and safe tool after failure of anticoagulation in cerebral venous sinus thrombosis.