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Journal of Korean Neurosurgical Society 1986;15(2): 279-286.
Multiple Intracranial Dural Sinus Thrombosis associated with Polycythemia: Case Report.
Byung Ryong Do, Tai Jin Baik, Jong Kwang Lee, Byung Joon Kim
Department of Neurosurgery, Eulji General Hospital, Seoul, Korea.
ABSTRACT
Cerebral venous thrombosis is commonly related to infectious processes, trauma, neoplasm, puerperium, and the use of oral contraceptives, etc., but this case was associated with a very rare condition, "polycythemia". This case was confirmed by hematologic study, brain C-T, conventional angiography, and digital subtraction angiography(DSA). The patient was treated by venesection, the use of urokinase and dicumarol, and lumbo-peritoneal shunt(L-P shunt), etc. Post-treatment DSA showed the complete recanalization of all dural sinuses except the left transverse sinus, suggesting normal variant.
Key Words: Sinus thrombosis; Polycythemia; Urokinase; DSA; Lumbo-peritoneal shunt
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