[Skip to Navigation]
December 1977

Superior Sagittal Sinus Thrombosis

Author Affiliations

Clinique des Maladies du Systéme Nerveux Hôpital de la Salpetriere 47, bd de l'Hôpital 75 634 Paris, France

Arch Neurol. 1977;34(12):788-789. doi:10.1001/archneur.1977.00500240076019

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


To the Editor.—  In their recent article "Superior Sagittal Sinus Thrombosis" (Arch Neurol 34:2, 1977), Drs Gettel-finger and Kokmen recommend that anticoagulants not be used, but rather that one should rely on antiedematous agents and anticonvulsants. We wish to report briefly two recent cases that led us to a different conclusion.

Report of Cases.—  Case 1.—A 69-year-old right-handed woman developed a right brachial monoplegia within a few hours. On admission the same day (Dec 12, 1975), she was apathetic, but not confused or dysphasic. There was a dense right brachial monoplegia with decreased reflexes and a right extensor plantar response. Findings from general examination, temperature, and routine blood tests were normal. On lumbar puncture, CSF protein level was 76 mg/100 ml and RBC count, 9,000/cu mm.She was given oral glycerin and dexamethasone (4 mg intramuscularly every six hours), but her condition deteriorated over the next ten days. She

First Page Preview View Large
First page PDF preview
First page PDF preview
Add or change institution