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Cerebral Venous Thrombosis: A Comprehensive Review.
Pretty Sara Idiculla1, Dhineshreddy Gurala2, Manikandan Palanisamy3
1University of Missouri Health Care, Columbia, Missouri, USA, sarahidiculla.psi@gmail.com.
European Neurology
|September 3, 2020
Summary
Cerebral sinus venous thrombosis (CSVT) is a rare but serious neurological condition. Early diagnosis and treatment, primarily anticoagulation, significantly improve patient outcomes and reduce mortality.
Area of Science:
- Neurology
- Vascular Neurology
Background:
- Cerebral sinus venous thrombosis (CSVT) is a rare, potentially fatal neurological condition.
- Its diagnosis is often delayed due to vague clinical and radiological signs.
Purpose of the Study:
- To provide a comprehensive review of Cerebral sinus venous thrombosis (CSVT).
- Focus on the epidemiology, risk factors, pathophysiology, clinical features, diagnosis, and management of CSVT.
Main Methods:
- Literature search on PubMed using "Cerebral sinus venous thrombosis".
- Included full-text English articles from the last 10 years, focusing on adults (>18 years).
Main Results:
- CSVT accounts for ~1% of all strokes and presents in acute, subacute, or chronic forms.
- Common presentations include intracranial hypertension, focal deficits, and cavernous sinus syndrome.
- MRI with MRV is the gold standard for diagnosis; anticoagulation is the primary treatment.
Conclusions:
- CSVT is under-diagnosed due to nonspecific presentation.
- Timely diagnosis and treatment are crucial for reducing morbidity and mortality.
- Early intervention significantly improves outcomes in CSVT patients.
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