Dr. Leonardo Rangel Castilla Facebook ad: “VENOUS INFARCTION”

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VENOUS INFARCTION HEMORRHAGIC STROKE The majority of brain bleed (hemorrhage) comes from arterial side, rarely the origin is a vein. And when it does, it has a progressive course starting with headaches, altered mental status and a major neurological deficit, it is a true emergency, and the underlying cause is venous hypertension from thrombus formation in the venous sinuses, patients have a hypercoagulable state. This is a 75-year-old female with progressive headaches, blurry vision, that progressed over two weeks to a hemorrhage. The patient was taken for emergent decompressive craniotomy to save her live. Once the patient was stable, a cerebral angiogram was done, observing acute thrombus formation within both transverse sinuses. Direct aspiration of blood cloths was done “cleaning the pipes” to establish venous blood flow. Patient was anticoagulated and had a slow positive recovery. 1. CT scan showing removal of skull to save patients life. Done by Dr Cristobal Vallejo @dr.cristobalvallejo 2. Surgery showing hemorrhage during life-saving procedure. Done by Dr Cristobal Vallejo @dr.cristobalvallejo 3. Angiography showing thrombus (blood clot) within both transverse sinuses 4. Angiography showing thrombus (blood clot) within both transverse sinuses 5. Angiography showing collaterals finding new route for drainage 6. Catheters in the cerebral sinuses and veins removing thrombus 7. Catheters in the cerebral sinuses and veins removing thrombus 8. Catheters in the cerebral sinuses and veins removing thrombus 9. Multiple thrombus #neurosurgery #stroke #hemorrhage #neuroendovascular #americanboardcertifiedneurosurgeon

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Dr. Leonardo Rangel Castilla