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[Cerebral venous thrombosis in clinical practice]

N V Pizova1, A V Pizov2

  • 1Yaroslavl State Medical University, Yaroslavl, Russia.

Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
|September 3, 2025
PubMed

Insights

Cerebral venous thrombosis (CVT) is a rare stroke type, often seen in younger individuals. This review covers CVT risk factors, treatment, and outcomes, proposing a management algorithm.

Area of Science:

  • Neurology
  • Vascular Neurology
  • Stroke Medicine

Background:

  • Cerebral venous thrombosis (CVT) represents 0.5% to 3% of all strokes.
  • CVT disproportionately affects younger populations, presenting with diverse neurological symptoms.
  • Accurate diagnosis of CVT necessitates specialized clinical knowledge.

Purpose of the Study:

  • To consolidate current knowledge on risk factors, treatment, and outcomes of CVT in adults.
  • To provide a comprehensive overview of CVT for clinicians and researchers.
  • To propose a practical management algorithm for CVT patients.

Main Methods:

  • Systematic review of existing literature on cerebral venous thrombosis.
  • Consolidation of data on CVT risk factors, clinical presentations, and treatment strategies.
  • Development of a proposed diagnostic and management algorithm based on current evidence.

Main Results:

  • The majority of CVT patients have identifiable predisposing factors, which can be transient or chronic.
  • Despite diverse presentations, patients with CVT generally experience favorable outcomes.
  • Effective management strategies and timely diagnosis are crucial for positive patient prognoses.

Conclusions:

  • Cerebral venous thrombosis, though uncommon, requires high diagnostic acumen due to varied presentations.
  • Understanding predisposing factors is key to managing and potentially preventing CVT.
  • The proposed algorithm aims to standardize and improve the care of adult patients with CVT.

Keywords:
cerebral venous thrombosisclinical presentationmanagement algorithmrisk factors

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