Cerebral Venous Thrombosis. A Challenging Neurologic Diagnosis

Brit Long, Alex Koyfman, Michael S. Runyon

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Headache is a common emergency department chief complaint. Although most are benign, emergency physicians must rapidly identify and manage the uncommon, sometimes subtle, presentation of headache from a life-threatening cause. Cerebral venous thrombosis imparts significant morbidity and mortality, and can be a challenging diagnosis. It most commonly occurs in those under 50 years of age with thrombosis of the cerebral veins/sinuses. Diagnosis is frequently delayed. The disease can present with 1 or more clinical syndromes, including intracranial hypertension with headaches, focal neurologic deficits, seizures, and encephalopathy. Diagnosis requires imaging. Treatment includes stabilization, management of complications, and anticoagulation.

Original languageEnglish (US)
JournalEmergency Medicine Clinics of North America
DOIs
StateAccepted/In press - 2017

Keywords

  • Anticoagulation
  • Cerebral venous thrombosis
  • Focal neurologic deficit
  • Seizure
  • Stroke

ASJC Scopus subject areas

  • Emergency Medicine

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