Urgent mechanical thrombectomy unlocked the devastating acute superior sagittal sinus thrombosis complicated with acute status epilepticus: Case report

Abstract

The mainstay treatment of uncomplicated cerebral venous sinus thrombosis (CVST) is an anticoagulant medication and gets rid of the cause of the disease as soon as possible. Endovascular treatment is recommended in complicated cases without definite standard guidelines for timing of intervention. In contrast to, the guideline and timing of intervention for acute convulsive status epilepticus. With predictable of the critically complicated CVST with acute status epilepticus and bifrontal hemorrhages, urgent thrombectomy within 48 h after medical failure is able to restoration of venous flow in time for rescue the edematous brain, stop further venous bleeding, ease seizure controlled and finally lead to rapidly recovery of the devastating conditions with an excellent outcome.