Diagnosis and management of cerebral venous thrombosis

Clin Med (Lond). 2018 Feb;18(1):75-79. doi: 10.7861/clinmedicine.18-1-75.

Abstract

Cerebral venous thrombosis (CVT) is rare and accounts for 0.5% of all strokes. Its clinical presentation is variable and diagnosis requires a high index of clinical suspicion in conjunction with neuroradiological diagnostic support. Treatment options are limited and are mostly based on consensus. Therefore, familiarity with international guidelines is important. Outcome is often good and most patients make a full recovery, although a small proportion suffers death or disability. Here, we describe the clinical features, risk factors, acute imaging features, management and complications of CVT.

Keywords: anticoagulation; cerebral venography and heparin; cerebral venous sinus thrombosis; cerebral venous thrombosis; imaging; stroke.

Publication types

  • Review

MeSH terms

  • Humans
  • Patient Care Management / methods*
  • Sinus Thrombosis, Intracranial* / complications
  • Sinus Thrombosis, Intracranial* / diagnosis
  • Sinus Thrombosis, Intracranial* / physiopathology
  • Sinus Thrombosis, Intracranial* / therapy
  • Stroke / etiology
  • Stroke / therapy