Current Management of Cerebral Venous Thrombosis - PubMed
5 hours ago
- #cerebral venous thrombosis
- #stroke management
- #anticoagulation
- Cerebral venous thrombosis (CVT) is a rare stroke type primarily affecting younger women.
- Management phases include acute treatment (anticoagulation even with hemorrhage), primary therapy, secondary prevention, and chronic recovery.
- Endovascular therapy and decompressive craniectomy are reserved for severe cases.
- Direct oral anticoagulants are comparable to vitamin K antagonists in primary treatment, but optimal duration is uncertain.
- Extended anticoagulation for secondary prevention requires individualized risk assessment, with higher recurrence risk in cancer, antiphospholipid syndrome, prior VTE, and idiopathic cases.
- Long-term sequelae (fatigue, headache, cognitive/mood issues, epilepsy, intracranial hypertension) cause significant morbidity despite functional independence.
- Heavy menstrual bleeding may affect young women on anticoagulation.