Fortschr Neurol Psychiatr 2015; 83(1): 44-48
DOI: 10.1055/s-0034-1398783
Kasuistik
© Georg Thieme Verlag KG Stuttgart · New York

Akinetischer Mutismus bei fulminanter multilokulärer Sinus- und Venenthrombose einschließlich der Vena Galeni

Akinetic Mutism due to Fulminant Multilocular Cerebral Venous Thrombosis, Including the Vein of Galen
A. S. Winkel
1   Neurology, Centre Hospitalier de Luxembourg, Luxembourg
,
N. J. Diederich
1   Neurology, Centre Hospitalier de Luxembourg, Luxembourg
,
T. Boulanger
2   Neuroradiology, Centre Hospitalier de Luxembourg, Luxembourg
,
R. Metz
1   Neurology, Centre Hospitalier de Luxembourg, Luxembourg
› Author Affiliations
Further Information

Publication History

07 September 2014

17 December 2014

Publication Date:
20 January 2015 (online)

Zusammenfassung

Die zerebrale Sinusthrombose kann eine vielfältige Symptomatik mit entsprechend schwieriger Diagnosestellung aufweisen. Es existieren nur wenige evidenzbasierte Daten bezüglich Therapie und Prognose, insbesondere bezüglich tiefer Hirnvenen. Bei der Thrombose der Vena Galeni wird eine schlechtere Prognose angenommen. Unser Fallbericht beschreibt die lokale kombinierte neurointerventionelle Therapie als individueller Heilversuch bei fulminantem Verlauf.

Abstract

Cerebral venous thrombosis may present with multifaceted symptoms and therefore be difficult to diagnose. Only few evidence-based data exist with respect to therapy and prognosis, especially concerning the deep cerebral venous system. A thrombosis of the vein of Galen is deemed to have a poorer prognosis. Our case report describes the local combined neuro-interventional therapy as an individual attempt to cure a patient with a fulminant disease course.

 
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