SUPERIOR SAGITTAL SINUS THROMBOSIS TREATED WITH COMBINED LOCAL THROMBOLYTIC AND SYSTEMIC ANTICOAGULATION THERAPY

We recently encountered a patient with thrombosis of the superior sagi ttal sinus of an idiopathic cause. The patient was treated initially w ith combined local thrombolytic therapy through the burr hole over the superior sagittal sinus and systemic anticoagulant therapy. Continuou s ventricular drainage and hyperbaric oxygenation therapy were used to control the increased intracranial pressure. The superior sagittal si nus was successfully recanalized. Whereas the patient suffered a compl ication with subacute subdural haematoma, he was successfully treated with the combination of these therapies. The rationale and approach ar e discussed.