Decompressive Hemicraniectomy in Cerebral Sinus Thrombosis | Zendy

Jonathan M. Coutinho | Zendy; Charles B.L.M. Majoie | Zendy; Bert A. Coert | Zendy; J. Stam | Zendy

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Decompressive Hemicraniectomy in Cerebral Sinus Thrombosis

Author(s) -

Jonathan M. Coutinho,

Charles B.L.M. Majoie,

Bert A. Coert,

J. Stam

Publication year - 2009

Publication title -

stroke

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.397

H-Index - 319

eISSN - 1524-4628

pISSN - 0039-2499

DOI - 10.1161/strokeaha.108.543421

Subject(s) - medicine , cerebral venous sinus thrombosis , thrombolysis , decompressive craniectomy , surgery , brain herniation , thrombosis , cardiology , traumatic brain injury , myocardial infarction , psychiatry

Thirteen percent of patients with cerebral venous and sinus thrombosis (CVST) has a poor clinical outcome. In patients with a poor prognosis, endovascular thrombolysis can be considered, but this procedure does not appear to be beneficial in patients with impending transtentorial herniation because of large hemorrhagic venous infarcts. Therefore, halfway through 2006, we changed our policy to decompressive hemicraniectomy in these patients.

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