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Scholars Journal of Medical Case Reports | Volume-11 | Issue-03
Cerebral Venous Thrombosis: in Case of Failure of Heparin Therapy Associated with Thrombectomy, Rivaroxaban May Be a Suitable Alternative: Case Report and Review
Fatima Zahra Haddari, Ibrahim Bechri, Khalil Alaoui-Mhammedi, Ali Derkaoui, Abdelkarim Shimi, Mohammed Khatouf
Published: March 19, 2023 | 99 96
DOI: 10.36347/sjmcr.2023.v11i03.023
Pages: 339-343
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Abstract
Cerebral venous thrombosis (CVT) is a rare pathology characterized by the diversity of its etiologies and clinical presentation, which are sometimes responsible for diagnostic delays. Basic treatment is curative anticoagulation, usually with heparin. However, direct oral anticoagulants are beginning to have a place in this condition. Prognosis is generally good, even in the presence of an important initial deficit. We report the case of a 20-year-old woman admitted in our intensive care unit for the management of a CVT who did not respond to the treatment associating heparin and thrombectomy and who was treated with rivaroxaban with a good outcome.