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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
14:58

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

[Cerebral venous thrombosis--diagnosis and treatment]

Hans-Jørgen Johnsen1, Anders Vorhaug, Kjell Arne Kvistad

  • 1Avdeling for nevrologi og klinisk nevrofysiologi, St. Olavs Hospital, Olav Kyrres gate 17, 7006 Trondheim. hans.jorgen.johnsen@stolav.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|April 26, 2007
PubMed

Insights

Cerebral venous thrombosis (CVT) is a rare stroke cause. Modern diagnosis and anticoagulation, particularly heparin, improve outcomes, with catheter-based thrombolysis for severe cases.

Area of Science:

  • Neurology
  • Vascular Medicine

Background:

  • Cerebral venous thrombosis (CVT) is an uncommon cause of stroke.
  • It presents a diagnostic challenge for various neurological symptoms.

Purpose of the Study:

  • To review the etiology, pathology, diagnosis, and treatment of CVT.
  • To highlight advancements in CVT diagnosis and management.

Main Methods:

  • Literature review.
  • Analysis of authors' personal experience.

Main Results:

  • CVT accounts for 0.5-1.0% of strokes, with headache as the primary symptom in 70-90% of cases.
  • Modern neuroradiology enables diagnosis of conditions previously missed.
  • Mortality is approximately 10%.

Conclusions:

  • Careful patient assessment, including thrombophilia screening, is crucial.
  • Anticoagulation with heparin or low-molecular heparin is the recommended initial treatment.
  • Endovascular thrombolysis is an option for refractory cases.
Abstract

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