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DOI: 10.1055/s-0037-1603558
External Ventricular Drainage in Acute Cerebral Venous Thrombosis with Bilateral Thalamic Infarcts
Publikationsverlauf
25. Januar 2017
24. April 2017
Publikationsdatum:
02. Juni 2017 (online)


Abstract
Cerebral venous thrombosis (CVT) is an uncommon type of stroke with a considerable risk of mortality and morbidity (around 15% overall death or dependency rate in recent meta-analysis). We present the case of a 20-month-old girl who presented with an altered level of consciousness and motor impairment. Imaging studies showed deep CVT with bilateral thalamic edema, resulting in obstructive hydrocephalus due to third ventricle compression. An external ventricular drain was placed, along with intracranial pressure (ICP) monitoring. Evolution was favorable with near-complete neurological recovery. Anticoagulation is the mainstay of treatment of CVT. However, there are very few studies addressing shunting procedures in the management of associated intracranial hypertension. We believe that for patients presenting with bilateral thalamic edema and obstructive hydrocephalus, early shunting and ICP monitoring should be considered.
Keywords
acute cerebral venous thrombosis - bilateral thalamic infarct - external ventricular drainageNote
The authors certify that this article has neither been published nor is it considered for publication elsewhere.