Clinical-Radiological Correlation in Cerebral Venous Occlusive Disease

Vines, Frederick S.; Davis, David O.

doi:10.1148/98.1.9

Cited by 104 publications

(37 citation statements)

References 15 publications

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“…Arteriography, supplemented by retrograde venography, is reported effective in confirming the clinical diagnosis of cerebral venous thrombosis. 17 In the past, the diagnosis of cerebral venous thrombosis clinically was associated with a very poor prognosis. As evidenced in the present study, however, the damage to the brain with intracranial venous thrombosis varies in a wide range.…”

Section: Figure 7bmentioning

confidence: 99%

The Syndrome of Latent Cerebral Venous Thrombosis: Its Frequency and Relation to Age and Congestive Heart Failure

Towbin

1973

Stroke

105

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The present investigation indicates the high incidence of intracranial venous thrombosis in adults in the older age groups, especially in the female. Commonly overlooked clinically and pathologically, cerebral venous thrombosis is usually preceded congestive circulatory failure and other related systemic disturbances. Most patients with venous thrombosis intracranially also develop thromboembolic complications at other sites in the body. Although often latent clinically, concurrent pulmonary embolism (as revealed in postmortem studies) occurs in a majority of patients with cerebral venous thrombosis. With clinical and pathological aspects of the process correlated, cerebral venous thrombosis in the aged presents a characteristic pattern. In some cases, in patients with enigmatic progressive coma and neurological deterioration, cerebral venous thrombosis occurs as the primary cause of death. In other instances, in patients with cardiac disease or other major systemic disorders, intracranial venous thrombosis develops as a terminal complication leading to death. Cerebral venous thrombosis is of increasing incidence. There is an expressed need that this form of stroke be more widely recognized clinically.

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Section: Figure 7bmentioning

confidence: 99%

The Syndrome of Latent Cerebral Venous Thrombosis: Its Frequency and Relation to Age and Congestive Heart Failure

Towbin

1973

Stroke

105

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“…And while trauma remains a frequent A review of therapeutic strategies for the management of cerebral venous sinus thrombosis cause, aseptic thrombosis occurring as a result of a multitude of factors (puerperium, malignancy, dehydration, oral contraceptives, and thrombophilia) is now more common than infection. 71 This change in etiology has shifted treatment to systemic anticoagulation, endovascular thrombectomy (either chemical or mechanical), and occasionally surgical decompression or open thrombectomy. Despite evidence supporting the efficacy of anticoagulation, clinicians remain apprehensive about its use given the concomitant propensity for ICH, which occurs in ~ 40% of affected patients.…”

mentioning

confidence: 99%

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

Medel¹,

Monteith²,

Crowley³

et al. 2009

FOC

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Object Although initially described in the 19th century, cerebral venous sinus thrombosis (CVST) remains a diagnostic and therapeutic dilemma. It has an unpredictable course, and the propensity for hemorrhagic infarction produces significant consternation among clinicians when considering anticoagulation. It is the purpose of this review to analyze the evidence available on the management of CVST and to provide appropriate recommendations. Methods A thorough literature search was conducted through MEDLINE and PubMed, with additional sources identified through cross-referencing. A classification and level of evidence assignment is provided for recommendations based on the American Heart Association methodologies for guideline composition. Results Of the publications identified, the majority were isolated case reports or small case series. Few prospective trials have been conducted. Existing data support the use of systemic anticoagulation as an initial therapy in all patients even in the presence of intracranial hemorrhage. Chemical and/or mechanical thrombectomy, in conjunction with systemic anticoagulation, is an alternative strategy in patients with progressive deterioration on heparin therapy or in those who are moribund on presentation. Mechanical thrombectomy is probably preferred in patients with preexisting intracranial hemorrhage. Conclusions Effective treatments exist for the management of CVST, and overall outcomes are more favorable than those for arterial stroke. Further research is necessary to determine the role of individual therapies; however, the rarity of the condition poses a significant limitation.

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“…Vines and Davis 29 were the first to propose thrombolytic therapy (urokinase) in the management of CVT, followed by Di Rocco et Al 30 who used intravenous Urokinase in combination with heparin treatment. Treatment with local urokinase infusion into the dural sinus was first performed in 1988 31 .…”

Section: Treatmentmentioning

confidence: 99%

Clinical Presentation, Imaging and Treatment of Cerebral Venous Thrombosis (CVT)

2002

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Clinical-Radiological Correlation in Cerebral Venous Occlusive Disease

Cited by 104 publications

References 15 publications

The Syndrome of Latent Cerebral Venous Thrombosis: Its Frequency and Relation to Age and Congestive Heart Failure

The Syndrome of Latent Cerebral Venous Thrombosis: Its Frequency and Relation to Age and Congestive Heart Failure

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

Clinical Presentation, Imaging and Treatment of Cerebral Venous Thrombosis (CVT)

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