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Cerebral Venous Thrombosis

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Cerebrovascular Disorders

Part of the book series: Neuromethods ((NM,volume 170))

Abstract

Cerebral venous thrombosis (CVT) is a relatively uncommon but serious neurologic disorder that is potentially reversible with prompt diagnosis and appropriate medical care. The clinical presentation is extremely variable and nonspecific, and imaging is critical in diagnosis. Many risk factors for CVT have been reported, most of which overlap with those of peripheral venous thromboembolism. Patients can be diagnosed with magnetic resonance imaging, CT venography, or catheter angiography. The management of CVT patients includes treatment of associated conditions, anticoagulation with parenteral heparin, prevention of recurrent seizures, and surgical decompression in patients with large venous infarcts/hemorrhages with impending herniation. After the acute phase, patients should be anticoagulated for up to 3–12 months based on etiology. In patients who develop clinical and radiological signs of impending herniation, decompressive surgery can be both lifesaving and result in a good functional outcome. The prognosis is otherwise favorable in most cases, especially compared to arterial stroke, although a significant proportion of patients do suffer from chronic symptoms.

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Author information

Authors and Affiliations

  1. Department of Neurocritical Care , Brigham and Women’s Hospital, Massachusetts General Hospital, Boston, MA, USA

    Sameen Jafari

  2. Department of Neurology, Brigham and Women’s Hospital, Massachusetts General Hospital, Boston, MA, USA

    Catherine Albin

  3. Divisions of Stroke, Cerebrovascular and Critical Care Neurology, Department of Neurology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Saef Izzy

Authors
  1. Sameen Jafari
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  2. Catherine Albin
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  3. Saef Izzy
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Corresponding author

Correspondence to Sameen Jafari .

Editor information

Editors and Affiliations

  1. Associate Chair of Neurology for Research, New York Medical College, Associate Professor of Neurology, Neurosurgery and Radiology, New York Medical College, Director of the Neuroendovascular Surgery Fellowship, Neuroendovascular Surgery (Interventional Neurologist) Attending Medical Director of Neurocritical Care, Westchester Medical Center at New York Medical College, New York, USA

    Fawaz Al-Mufti, MD

  2. Division of Neurointerventional Radiology, Goodman Campbell Brain and Spine, Division of Neurointerventional Radiology, Ascension St. Vincent Medical Center, Department of Neurosurgery, Marian College of Osteopathic Medicine, Indianapolis, IN, USA

    Krishna Amuluru MD

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Jafari, S., Albin, C., Izzy, S. (2021). Cerebral Venous Thrombosis. In: Al-Mufti, MD, F., Amuluru MD, K. (eds) Cerebrovascular Disorders. Neuromethods, vol 170. Humana, New York, NY. https://doi.org/10.1007/978-1-0716-1530-0_22

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  • DOI: https://doi.org/10.1007/978-1-0716-1530-0_22

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  • Publisher Name: Humana, New York, NY

  • Print ISBN: 978-1-0716-1529-4

  • Online ISBN: 978-1-0716-1530-0

  • eBook Packages: Springer Protocols

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