A review of therapeutic strategies for the management of cerebral venous sinus thrombosis

作者: Ricky Medel , Stephen J. Monteith , R. Webster Crowley , Aaron S. Dumont

DOI: 10.3171/2009.8.FOCUS09154

关键词:

摘要: Object Although initially described in the 19th century, cerebral venous sinus thrombosis (CVST) remains a diagnostic and therapeutic dilemma. It has an unpredictable course, propensity for hemorrhagic infarction produces significant consternation among clinicians when considering anticoagulation. is purpose of this review to analyze evidence available on management CVST provide appropriate recommendations. Methods A thorough literature search was conducted through MEDLINE PubMed, with additional sources identified cross-referencing. classification level assignment provided recommendations based American Heart Association methodologies guideline composition. Results Of publications identified, majority were isolated case reports or small series. Few prospective trials have been conducted. Existing data support use systemic anticoagulation as initial therapy all patients even presence intrac...

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