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[Cerebral venous thrombosis].

J M Ferro1

  • 1Service de Neurologie, Hospital Santa Maria, 1649-035 Lisboa, Portugal. jmferro@iscvt.com

Journal of Neuroradiology = Journal De Neuroradiologie
|January 23, 2003
PubMed
Summary
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Cerebral vein and dural sinus thromboses (CVT) are increasingly diagnosed with MRI. While rare, CVT has a low mortality rate and good recovery with appropriate treatment.

Area of Science:

  • Neurology
  • Vascular Medicine
  • Radiology

Context:

  • Cerebral vein and dural sinus thromboses (CVT) are rare but increasingly identified.
  • Advances in MRI and better understanding of clinical presentations aid diagnosis.
  • Genetic factors and predisposing conditions influence individual risk.

Purpose:

  • To review the diagnosis, risk factors, and management of cerebral vein and dural sinus thromboses.
  • To highlight the role of advanced imaging in CVT detection.
  • To discuss current treatment strategies and their evidence base.

Summary:

  • CVT diagnosis is primarily achieved through MRI and MR-angiography; catheter angiography is reserved for uncertain cases.
  • Treatment involves addressing underlying causes, managing intracranial hypertension, and antithrombotic therapy.

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  • Recent data show a mortality rate below 10% and approximately 80% complete recovery.

    • Impact:

    • Improved diagnostic capabilities are leading to earlier identification of CVT.
    • Understanding risk factors can guide preventative strategies.
    • Despite limited randomized trials, current treatments offer a favorable prognosis for most patients.