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Intracerebral Hemorrhage from Cerebral Venous Thrombosis

  • Cardiovascular Disease and Stroke (M Fink and J Safdieh, Section Editors)
  • Published:
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Abstract

Cerebral venous thrombosis (CVT) is an uncommon cause of stroke with the incidence of 0.5 % from all strokes. The clinical presentation with cerebral hemorrhage constitutes a diagnostic challenge. Approximately one- third of CVT patients developed intracerebral hemorrhage (ICH). Associated factors include older age, female sex, acute onset (48 h), headache, decreased level of consciousness, seizure, elevated blood pressure and papilledema. MRI and MR venogram is the most recommend diagnostic modality in CVT. Anticoagulation therapy is the most commonly accepted treatment even in patients with ICH related CVT. Mechanical thrombectomy/thrombolysis may be considered in patients with neurological deterioration despite intensive medical treatment. Intracerebral hemorrhage in the context of CVT is usually associated with poorer outcomes compared to CVT without ICH.

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Acknowledgments

The authors thank Dr. Dipanka Sarma, Division of Neuroradiology, Department of Medical imaging, St. Michael’s Hospital, University of Toronto for his valuable advice in neuroimaging.

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No potential conflicts of interest relevant to this article were reported.

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Authors and Affiliations

  1. Stroke Outcomes Research Unit, Division of Neurology, Department of Medicine, St. Michael’s Hospital, University of Toronto, 55 Queen St East, Suite 931, Toronto, M5C 1R6, Canada

    Jitphapa Pongmoragot & Gustavo Saposnik

  2. Institute of Clinical Evaluative Sciences, Toronto, Ontario, Canada

    Gustavo Saposnik

  3. Departments of Medicine and Health Policy Management and Evaluation, University of Toronto, Toronto, Ontario, Canada

    Gustavo Saposnik

Authors
  1. Jitphapa Pongmoragot
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  2. Gustavo Saposnik
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Correspondence to Jitphapa Pongmoragot or Gustavo Saposnik.

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Pongmoragot, J., Saposnik, G. Intracerebral Hemorrhage from Cerebral Venous Thrombosis. Curr Atheroscler Rep 14, 382–389 (2012). https://doi.org/10.1007/s11883-012-0260-1

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  • DOI: https://doi.org/10.1007/s11883-012-0260-1

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