Technique and indications for thrombolytic treatment of acute venous stroke

Acute dural sinus and deep venous thrombosis may lead to venous hypertension, congestion, edema and then hemorrhage. We reviewed 41 patients with 5 different stages of imaging presentation and increment increasing dural sinus pressure. The early Stages I or II may not need thrombolysis, but Stage III and IV should start as early as possible. Stage II may require thrombolysis if it fails in the trial of anticoagulation. All Stage V patients' results with fatality with or without thrombolysis.