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critical care managment of venous sinus thrombosis

Elisabetta Zanoletti, Diego Cazzador, Chiara Faccioli, Marianna Sari, Roberto Bovo, Alessandro Martini
OBJECTIVES: Otogenic lateral sinus thrombosis (LST) is a rare intracranial complication of acute otitis media (AOM), which can lead to severe neurological sequelae and death. The aim of this study was to analyze the clinical presentation, management and outcome of LST in children, investigating a possible correlation between clinical aspects, radiological findings and anatomical variations. METHODS: At a tertiary Italian hospital, a retrospective review was conducted on the medical records of eight patients diagnosed with otogenic LST over a 3-year period...
December 2015: International Journal of Pediatric Otorhinolaryngology
D Calvet, S Bracard, J-L Mas
With thrombolysis, intravenous alteplase (0.9 mg/kg body weight, maximum 90 mg), with 10% of the dose given as a bolus followed by a 60-minute infusion, is recommended within 4.5 hours of onset of ischemic stroke. When indicated, intravenous thrombolysis must be initiated as soon as possible. It is possible to use intravenous alteplase in patients with seizures at stroke onset, if the neurological deficit is related to acute cerebral ischemia. Intravenous alteplase can be discussed for use on a case-by-case basis, according to risk of bleeding, in selected patients under 18 years and over 80 years of age, although for the current European recommendations this would be an off-label use...
June 2012: Revue Neurologique
M F Terhaar, K Kaut
The initial clinical findings that form the basis for the diagnosis of puerperal SSSVT are frequently quite subtle. It is essential to a favorable outcome that clinicians maintain a high index of suspicion in relation to physical complaints of puerperal women. Meticulous, comprehensive, multisystem assessment is indicated to explore fully the presentation of headache, weakness, or other subjective data when discovered. Headaches can easily be attributed to a multitude of factors associated with birth. These include fatigue, stress, complications of anesthesia, fluid and electrolyte imbalances, and muscle tension and strain...
June 1993: Journal of Perinatal & Neonatal Nursing
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