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Case Reports in Medicine
Volume 2011 (2011), Article ID 815618, 4 pages
http://dx.doi.org/10.1155/2011/815618
Case Report

Delay in Diagnosis of Cerebral Venous and Sinus Thrombosis: Successful Use of Mechanical Thrombectomy and Thrombolysis

1College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USA
2Internal Medicine Residency, Grand Rapids Medical Education Partners, Grand Rapids, MI 49503, USA
3Radiology Residency, University of North Carolina at Chapel Hill, Chapel Hill, NC 27514-4423, USA
4Department of Internal Medicine, Grand Rapids Medical Education Partners, Grand Rapids, MI 49503, USA

Received 25 May 2011; Accepted 9 June 2011

Academic Editor: J. W. M. van der Meer

Copyright © 2011 Christopher T. Shah et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cerebral venous and sinus thrombosis is a relatively rare condition with a variable presentation that can translate into a difficult workup and a delay in diagnosis and treatment. We describe the successful use of mechanical thrombectomy and thrombolysis in the case of an eighteen-year-old woman that presented with progressive thrombosis of the jugular veins and dural sinuses despite adequate anticoagulation. Our case highlights the need for clinicians to include CVST in the initial differential diagnosis of patients in order to prevent delays and poor outcomes.