Pathophysiology, diagnosis and management of cerebral venous thrombosis: A comprehensive review.
Medicine (Baltimore)
; 102(48): e36366, 2023 Dec 01.
Article
de En
| MEDLINE
| ID: mdl-38050259
ABSTRACT
Cerebral venous thrombosis is a rare cause of stroke in young mostly female adults which is frequently overlooked due to its variable clinical and radiological presentation. This review summarizes current knowledge on it risk factors, management and outcome in adults and highlights areas for future research. Females are 3 times more commonly affected and are significantly younger than males. The presenting symptoms can range from headache to loss of consciousness. However, the often-nebulous nature of symptoms can make the diagnosis challenging. Magnetic resonance imaging with venography is often the diagnostic imaging of choice. While unfractionated or low molecular-weight heparin is the mainstay of treatment, endovascular intervention with thrombolysis or thrombectomy and decompressive craniectomy may be required depending on clinical status. Nevertheless, approximately 80% of patients have a good recovery but mortality rates of -5% to 10% are not uncommon. Diagnosing cerebral venous thrombosis can be challenging but with vigilance and expert care patients have the best chance of a good clinical outcome.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Thromboses des sinus intracrâniens
/
Thrombose veineuse
/
Thrombose intracrânienne
Limites:
Adult
/
Female
/
Humans
/
Male
Langue:
En
Journal:
Medicine (Baltimore)
Année:
2023
Type de document:
Article
Pays d'affiliation:
Bangladesh