Clinical Aspects, Diagnosis and Management of Cerebral Vein and Dural Sinus Thrombosis: A Literature Review

Saudi J Med Med Sci. 2019 Sep-Dec;7(3):137-145. doi: 10.4103/sjmms.sjmms_22_19. Epub 2019 Aug 28.

Abstract

Cerebral vein and dural sinus thrombosis (CVST) is an uncommon cause of stroke, but its delayed diagnosis carries significant morbidity and mortality. Several studies have reported higher incidence of CVST than that previously reported. The clinical presentation of CVST varies and can be atypical. Advancement in neuroimaging modalities has made it possible to make an early diagnosis and initiate management with a wide range of therapeutic options, including direct oral anticoagulants and endovascular treatment. This narrative review summarizes the epidemiology, clinical aspects, diagnosis and management of CVST.

Keywords: Anticoagulation; cerebral vein; direct oral anticoagulants; dural sinus; neuroimaging; thrombosis.

Publication types

  • Review