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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
[Cerebral venous sinus thrombosis : An overview of causes, diagnostics and treatment]
Jan Heckelmann1, Manuel Dafotakis1, Jörg B Schulz2
1Neurologische Klinik, Universitätsklinik der RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland.
Abstract:
In some cases, cerebral venous sinus thrombosis shows a fulminant progress but with an incidence of 1.32 cases per 100,000 person-years it is relatively rare. Nevertheless, the disease is responsible for around 0.5-1% of all stroke cases. The neurological examination often reveals nonspecific findings but especially in younger patients with acute to subacute position-dependent headaches, this differential diagnosis should definitely be considered. This article presents the most common causes, including a digression on vaccine-induced immune thrombotic thrombocytopenia (VITT) as well as recommendations for clinical, laboratory testing and imaging diagnostics. In addition, relevant complications with particular reference to epileptic seizures within the framework of the disease entity and guideline-based acute treatment and secondary prophylaxis are presented.
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