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Correspondence
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Volume 345:1777-1778 December 13, 2001 Number 24
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Cerebral Sinovenous Thrombosis

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To the Editor: The study by deVeber and colleagues (Aug. 9 issue),1 which reported 12 deaths among 160 children with cerebral sinovenous thrombosis, raises important issues about the future treatment of such patients, since only 1 of the children received any type of fibrinolytic therapy (urokinase was used in a nonneonate). It is unclear whether this single patient benefited from treatment. Limited data show that local urokinase infusion can be a lifesaving treatment in children.2

I have successfully treated four young adults with cerebral-vein thrombosis by retrograde venous infusion of urokinase directly into the clot, with good outcomes in all. . . . [Full Text of this Article]

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