title: Diagnosis and treatment of cerebral venous thrombosis.
abstract: Dural sinus or cerebral venous thrombosis (CVT) is a frequently unrecognized cause of stroke affecting predominantly young women. Typical clinical signs include headache, visual problems and seizures. Both computed tomography and magnetic resonance venous angiography are suitable for the detection of CVT, although magnetic resonance angiography is more sensitive to detect small cortical venous thrombosis. Evidence for efficacy of initial treatment with heparin in acute CVT comes from two randomized placebo-controlled studies that together included 79 patients. Although not evidence-based, postacute treatment with oral anticoagulation is recommended for up to 12 months after CVT. Long-term anticoagulation is recommended only in patients suffering from a severe coagulopathy or with recurrent CVT.
authors.affiliation: Department of Neurology and Stroke Center, University Duisburg-Essen, Hufelandstr. 55, 45122 Essen, Germany. christian.weimar@uk-essen.de
authors.forename: Christian
authors.initials: C
authors.lastname: Weimar
authors.forename: Florian
authors.initials: F
authors.lastname: Masuhr
authors.forename: Karim
authors.initials: K
authors.lastname: Hajjar
mesh_terms: D006801:Humans; D020767:Intracranial Thrombosis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D055502:Secondary Prevention; D012851:Sinus Thrombosis, Intracranial / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*