Successful endovascular management of venous sinus thrombosis complicating trans-labyrinthine removal of vestibular schwanomma.

Successful endovascular management of venous sinus thrombosis complicating trans-labyrinthine removal of vestibular schwanomma.

Am J Otolaryngol. 2016 Feb 5;

Authors: Manzoor NF, Ray A, Singer J, Nord R, Sunshine J, Megerian CA, Bambakidis NC, Semaan MT

Abstract
Cerebral venous sinus thrombosis (CVST) is a rare complication of surgical treatment of vestibular schwanomma. We present a rare case of extensive venous sinus thrombosis after trans-labyrinthine approach that was refractory to systemic anti-coagulation. Mechanical aspiration thrombectomy was utilized to re-canalize the venous sinuses and resulted in successful resolution of neurological symptoms. Indications of utilizing endovascular approaches are discussed that will enable skull base surgeons to address this uncommon yet potentially fatal complication.

PMID: 27045766 [PubMed - as supplied by publisher]

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