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Updated: Feb 21, 2026
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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
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Cerebral venous thrombosis after brain surgery.
Ana João Nunes1, Marta Carvalho2
1University of Porto, Faculty of Medicine, Porto, Portugal.
Clinical Neurology and Neurosurgery
|February 19, 2026
Summary
Cerebral venous thrombosis (CVT) after brain surgery is rare but increasingly recognized. Management requires individualized decisions due to limited evidence, emphasizing the need for further research.
Area of Science:
- Neurology
- Neurosurgery
- Vascular Medicine
Background:
- Cerebral venous thrombosis (CVT) is a rare complication following brain surgery.
- Increased recognition is linked to frequent postoperative imaging.
- Controversy exists regarding acute antithrombotic treatment.
Purpose of the Study:
- To review the literature on CVT in patients post-brain surgery.
- Focus on diagnostic and therapeutic management strategies.
- Analyze current evidence and identify research gaps.
Main Methods:
- Narrative review of published literature.
- PubMed search for articles (2014-2025).
- Inclusion of 32 studies after screening.
Main Results:
- CVT is often asymptomatic, detected on routine imaging.
- Symptoms include intracranial hypertension, seizures, delayed recovery.
- Diagnosis uses CT/MRI venography; thrombophilia screening is indicated.
- Parenteral anticoagulation is first-line; unfractionated heparin preferred initially.
- Endovascular therapy for high-risk/refractory cases.
- Preventive measures: minimize sinus injury, ensure hydration.
- Postoperative prophylactic anticoagulation considered based on risk.
- Prognosis generally favorable, but evidence is limited.
Conclusions:
- CVT post-brain surgery is rare and requires case-specific management.
- Limited evidence necessitates extrapolation from general populations.
- Targeted research is crucial for improved outcomes and treatment guidance.
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