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Cerebral venous sinus thrombosis

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840:, and eighteen cases of cerebral venous sinus thrombosis. It had been proposed that inadvertent injection of COVID-19 vaccine into deltoid muscle vasculature may result in vaccine distribution to distant tissues that may be causing these rare adverse reactions. A causal link with the vaccine, however, had not been proven, but the EMA decided to conduct further analysis and to inform recipients of the remote possibility of such rare syndromes. EMA confirmed that the vaccine's benefits still outweigh the risks and later released updated product information. and issued warnings to patients and healthcare professionals. The British 425: 417: 663:, provided there are no other bleeding risks that would make these treatments unsuitable. Some experts discourage the use of anticoagulation if there is extensive hemorrhage; in that case, they recommend repeating the imaging after 7–10 days. If the hemorrhage has decreased in size, anticoagulants are started, while no anticoagulants are given if there is no reduction. 530: 57: 738:
of nineteen studies in 2006 showed that mortality is about 5.6% during hospitalisation and 9.4% in total, while of the survivors 88% make a total or near-total recovery. After several months, two thirds of the cases has resolution ("recanalisation") of the clot. The rate of recurrence was low (2.8%).
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Disorders that cause, or increase the risk for systemic venous thrombosis are associated with central venous thromboses. In children, head and neck infections and acute systemic illnesses are the primary cause of central venous thrombosis. Cerebral venous sinus thrombosis is more common in particular
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guideline recommends that thrombolysis is only used in people who deteriorate despite adequate treatment, and other causes of deterioration have been eliminated. It is unclear which drug and which mode of administration is the most effective. Bleeding into the brain and in other sites of the body is
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In 2004 the first adequately large scale study on the natural history and long-term prognosis of this condition was reported; this showed that at 16 months follow-up 57.1% of people had full recovery, 29.5%/2.9%/2.2% had respectively minor/moderate/severe symptoms or impairments, and 8.3% had died.
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The duration of warfarin treatment depends on the circumstances and underlying causes of the condition. If the thrombosis developed under temporary circumstances (e.g. pregnancy), three months are regarded as sufficient. If the condition was unprovoked but there are no clear causes or a "mild" form
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The first description of thrombosis of the cerebral veins and sinuses is attributed to the French physician Ribes, who in 1825 observed thrombosis of the sagittal sinus and cerebral veins in a man who had had seizures and delirium. Until the second half of the 20th century it remained a diagnosis
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employs the same principles, but uses MRI as a scanning modality. MRI has the advantage of being better at detecting damage to the brain itself as a result of the increased pressure on the obstructed veins, but it is not readily available in many hospitals and the interpretation may be difficult.
189:. The neurologic deficits related to central venous thromboses does not necessarily affect one side of the body or one arterial or brain territory as is more common "arterial" strokes. Bilateral 6th cranial nerve palsies may occur, causing abnormalities related to eye movement, but this is rare. 750:
Cerebral venous sinus thrombosis is rare, with an estimated 3-4 cases per million annual incidence in adults. While it may occur in all age groups, it is most common in the third decade. 75% are female. Given that older studies show no difference in incidence between men and women, it has been
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may be used to try to prevent seizures. These situations include focal neurological problems (e.g. inability to move a limb) and focal changes of the brain tissue on CT or MRI scan. Evidence to support or refute the use of antiepileptic drugs as a preventive measure, however, is lacking.
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In children, a Canadian study reported in 2001 that CVST occurs in 6.7 per million annually. 43% occur in the newborn (less than one month old), and a further 10% in the first year of life. Of the newborn, 84% were already ill, mostly from complications after childbirth and dehydration.
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with a sheath and advancing a thin tube through the blood vessels to the brain where radiocontrast is injected before X-ray images are obtained. It is therefore only performed if all other tests give unclear results or when other treatments may be administered during the same procedure.
611:: alterations in normal blood flow, injury to the blood vessel wall, and alterations in the constitution of blood (hypercoagulability). Most cases of cerebral venous sinus thrombosis are due to hypercoagulability. The inflammatory response and prolonged immobilization of patients with 466:
or CTV), has a detection rate that in some regards exceeds that of MRI. The test involves injection into a vein (usually in the arm) of a radioopaque substance, and time is allowed for the bloodstream to carry it to the cerebral veins – at which point the scan is performed. It has a
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to suppress blood clot formation in cerebral venous sinus thrombosis. Before these trials had been conducted, there had been a concern that small areas of hemorrhage in the brain would bleed further as a result of treatment; the studies showed that this concern was unfounded.
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The British gynecologist Stansfield is credited with the introduction, in 1942, of the just recently introduced anticoagulant heparin in the treatment of CVST in 1942. Clinical trials in the 1990s finally resolved the concern about using anticoagulants in most cases of CVST.
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Severe impairment or death were more likely in those aged over 37 years, male, affected by coma, mental status disorder, intracerebral hemorrhage, thrombosis of the deep cerebral venous system, central nervous system infection and cancer. A subsequent
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haemorrhages that may merge into large haematomas. Thrombosis of the sinuses is the main mechanism behind the increase in intracranial pressure due to decreased resorption of cerebrospinal fluid (CSF). The condition does not typically lead to
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Coutinho JM, Zuurbier SM, Bousser MG, Ji X, CanhĂŁo P, Roos YB, Crassard I, Nunes AP, Uyttenboogaart M, Chen J, Emmer BJ, Roosendaal SD, Houdart E, Reekers JA, van den Berg R, de Haan RJ, Majoie CB, Ferro JM, Stam J (1 August 2020).
592:, however, because there is no difference in pressure between various parts of the brain. However, those who have deep cerebral venous sinus thrombosis or oedema at basal ganglia are more prone to hydrocephalus development. 1726:
Kernan WN, Ovbiagele B, Black HR, Bravata DM, Chimowitz MI, Ezekowitz MD, Fang MC, Fisher M, Furie KL, Heck DV, Johnston SC, Kasner SE, Kittner SJ, Mitchell PH, Rich MW, Richardson D, Schwamm LH, Wilson JA (July 2014).
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Central venous thromboses usually involve the dural sinuses with or without involvement of the cortical veins; isolated cortical venous thromboses are extremely rare with only about 100 cases reported.
770:(examination of the body after death) in nine percent of all people. Many of these were elderly and had neurological symptoms in the period leading up to their death, and many developed concomitant 517:
In most cases, the direct cause for the cerebral sinus thrombosis is not readily apparent. Identifying a source of infection is crucial; it is common practice to screen for various forms of
682:. In cases of VITT, intravenous immune globulins (IVIG) are recommended as they block the anti-PF4 antibody interaction with platelets and a non-heparin anticoagulant. In refractory cases, 844:(MHRA) confirmed 79 cases of thrombosis, including 19 fatalities, within the first 20 million vaccinations in Great Britain. Guidelines on management of suspected cases was issued by the 823: 1704: 692:(removal of the blood clot with "clot buster" medication) has been described, either systemically by injection into a vein or directly into the clot during angiography. The 2006 2751: 841: 2591: 856:
in the United States due to six cases of CVST that occurred 6 to 13 days after administration. The recommended pause was lifted on 23 April 2021 following a safety review.
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Zuurbier SM, Arnold M, Middeldorp S, Broeg-Morvay A, Silvis SM, Heldner MR, Meisterernst J, Nemeth B, Meulendijks ER, Stam J, Cannegieter SC, Coutinho JM (1 May 2016).
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Focal neurologic deficits may occur hours to days after the headache in 50% of cases, this may present as hemiparesis (unilateral weakness) if due to infarction of the
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Heparin and platelet transfusions should not be used as a treatment for any form of cerebral venous thrombosis caused by immune thrombotic thrombocytopenias including
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of 81–100% (it would be incorrectly positive in 0–19%). In the first two weeks, the "empty delta sign" may be observed (in later stages, this sign may disappear). The
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Al Rawahi B, Almegren M, Carrier M (September 2018). "The efficacy and safety of anticoagulation in cerebral vein thrombosis: A systematic review and meta-analysis".
563:. In cerebral venous thrombosis, blood clots usually form both in the veins of the brain and the venous sinuses. The thrombosis of the veins themselves causes venous 742:
In children with CVST the risk of death is high. Poor outcome is more likely if a child with CVST develops seizures or has evidence of venous infarction on imaging.
2989: 2507:"Inadvertent injection of COVID-19 vaccine into deltoid muscle vasculature may result in vaccine distribution to distance tissues and consequent adverse reactions" 675: 693: 165:(enzymatic destruction of the blood clot) or mechanical thrombectomy is used, although evidence for this therapy is limited. The disease may be complicated by 3484: 697:
a major concern in the use of thrombolysis. American guidelines make no recommendation with regards to thrombolysis, stating that more research is needed.
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In the elderly, many of the aforementioned symptoms may not occur. Common symptoms in the elderly with this condition are otherwise unexplained changes in
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Nine in ten people with cerebral venous thrombosis have a headache; this tends to worsen over the period of several days, but may also develop suddenly (
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of thrombophilia, 6 to 12 months is advised. If there is a severe underlying thrombosis disorder, warfarin treatment may need to continue indefinitely.
2622: 196:, although it is more common in women who develop sinus thrombosis peripartum (in the period before and after giving birth). These are mostly seizures 1071:"Effect of Endovascular Treatment With Medical Management vs Standard Care on Severe Cerebral Venous Thrombosis: The TO-ACT Randomized Clinical Trial" 2781: 833: 492:
may demonstrate smaller clots than CT or MRI, and obstructed veins may give the "corkscrew appearance". This, however, requires puncture of the
185:). The headache may be the only symptom. Many have symptoms of stroke: inability to move one or more limbs, weakness on one side of the face or 3023: 1978:"Prognosis of cerebral vein and dural sinus thrombosis: results of the International Study on Cerebral Vein and Dural Sinus Thrombosis (ISCVT)" 837: 3829: 2562: 3834: 3282: 2711:"MHRA issues new advice, concluding a possible link between COVID-19 Vaccine AstraZeneca and extremely rare, unlikely to occur blood clots" 807: 2824: 238:) which may be experienced as visual obscurations. In severely raised intracranial pressure, the level of consciousness is decreased, the 50:
sinus thrombosis, (superior) sagittal sinus thrombosis, dural sinus thrombosis, intracranial venous thrombosis, cerebral thrombophlebitis
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Daif A, Awada A, al-Rajeh S, et al. (1 July 1995). "Cerebral venous thrombosis in adults. A study of 40 cases from Saudi Arabia".
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and venous infarction may be apparent on any modality, but for the detection of the thrombus itself, the most commonly used tests are
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Jackson BF, Porcher FK, Zapton DT, Losek JD (September 2011). "Cerebral sinovenous thrombosis in children: diagnosis and treatment".
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and others allowed for the clinical diagnosis of cerebral venous thrombosis, using characteristic signs and symptoms and results of
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blood test and cerebral venous sinus thrombosis. This association however is not strong enough to rule out the diagnosis alone.
3616: 3477: 3229: 3073: 848:; it discouraged the use of heparin until it was clearer that heparin would not aggravate the thrombosis. On 13 April 2021 the 845: 3935: 2803:"FDA and CDC Lift Recommended Pause on Johnson & Johnson (Janssen) COVID-19 Vaccine Use Following Thorough Safety Review" 482: 3428: 1332:
Silvis S, Middeldorp S, Zuurbier S, Cannegieter S, Coutinho J (6 June 2016). "Risk Factors for Cerebral Venous Thrombosis".
555:, both the superficial veins and the deep venous system, empty into the dural venous sinuses, which carry blood back to the 3747: 3234: 3972: 3093: 4052: 3677: 2993: 2968: 656: 158: 84: 3161: 630:. An analysis of earlier case reports concludes that this occurs in about 10% of cases, but has a very poor prognosis. 404:
and focal neurological abnormalities, or when alternative causes of headache and neurological abnormalities, such as a
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Ray BS, Dunbar HS, Dotter CT (January 1951). "Dural sinus venography as an aid to diagnosis in intracranial disease".
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The diagnosis may be suspected on the basis of the symptoms, for example the combination of headache, signs of raised
4168: 3819: 3794: 3611: 3540: 3470: 3203: 3136: 2182:"The syndrome of latent cerebral venous thrombosis: its frequency and relation to age and congestive heart failure" 445: 312: 147: 4193: 4136: 3784: 3737: 3587: 3550: 3272: 3239: 3131: 3121: 2627: 2599: 2567: 2481: 829: 701: 3945: 3940: 1471:
Smith E, Kumar V (June 2018). "BET 1: Does a normal D-dimer rule out cerebral venous sinus thrombosis (CVST)?".
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is sometimes required. Raised intracranial pressure, if severe or threatening vision, may require therapeutic
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In those where a venous infarct or hemorrhage causes significant compression of surrounding brain structures,
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Improvements on the diagnosis of cerebral venous sinus thrombosis in life were made with the introduction of
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was hospitalized on 30 December 2012, for anticoagulation treatment of venous thrombosis of the right
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found a substantially larger incidence at 7 cases per 100,000; this was attributed to the fact that
4200: 3967: 3446: 3324: 3262: 3173: 2895: 2653:"CoViD vaccines and thrombotic events: EMA issued warning to patients and healthcare professionals" 709: 472: 468: 455: 441: 316: 143: 4114: 4024: 3606: 3385: 3224: 2544: 2083: 1899: 1630: 1496: 1357: 1273: 1207: 1050: 972: 929: 627: 373: 305: 209: 608: 1729:"Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack" 872:, which is located at the base of the brain. Clinton's thrombotic episode was discovered on an 3905: 3854: 3754: 3344: 3339: 3178: 3126: 2921: 2692: 2674: 2536: 2528: 2453: 2404: 2369: 2317: 2268: 2203: 2162: 2127: 2075: 2040: 1999: 1958: 1891: 1883: 1842: 1791: 1750: 1687: 1669: 1622: 1545: 1488: 1450: 1398: 1349: 1314: 1265: 1199: 1149: 1100: 1042: 964: 921: 735: 679: 336: 136: 69: 3910: 3559: 3098: 3088: 3051: 3008: 2682: 2664: 2518: 2443: 2435: 2396: 2359: 2351: 2307: 2299: 2258: 2193: 2154: 2117: 2067: 2030: 1989: 1948: 1938: 1930: 1873: 1832: 1822: 1781: 1740: 1677: 1661: 1612: 1579: 1535: 1527: 1480: 1440: 1432: 1388: 1341: 1304: 1255: 1191: 1139: 1131: 1120:"Headache as the only neurological sign of cerebral venous thrombosis: a series of 17 cases" 1090: 1082: 1034: 956: 913: 869: 476: 424: 286:
Thrombophilia, a tendency to develop blood clots due to abnormalities in coagulation, e.g.
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A dural venous sinus thrombosis of the transverse sinus. Greater on the right than left.
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Silvis S, Aguiar de Sousa D, Ferro J, Coutinho J (2017). "Cerebral venous thrombosis".
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Avanali R, Gopalakrishnan MS, Devi BI, Bhat DI, Shukla DP, Shanbhag NC (15 May 2019).
836:, general blood clotting rates were normal, but that it had identified seven cases of 4254: 4019: 3682: 2548: 2523: 2439: 1260: 1243: 1211: 771: 589: 568: 545: 518: 459: 270: 266: 254: 216: 154: 2950: 2900: 2087: 1903: 1878: 1861: 1634: 1601:"Superior sagittal sinus thrombosis and pulmonary embolism: a syndrome rediscovered" 1500: 1361: 1277: 1054: 976: 933: 4160: 4072: 3887: 3577: 3520: 3462: 1934: 1665: 917: 756: 713: 689: 604: 556: 479:
is characterized by enhancement of the dural wall without intra-sinus enhancement.
433: 299: 250: 162: 2623:"COVID-19 Vaccine AstraZeneca: Risk of thrombocytopenia and coagulation disorders" 1484: 2915: 2563:"COVID-19 Vaccine AstraZeneca – Update on ongoing evaluation of blood clot cases" 2071: 1786: 1769: 1745: 1728: 1393: 1376: 1086: 4225: 3621: 2953: 2122: 2105: 1436: 596: 378: 355: 243: 231: 2669: 2035: 2018: 1568:"Cerebral venous thrombosis and COVID-19: A silent killer during the pandemic?" 4141: 4131: 4092: 4036: 4029: 3859: 3195: 3113: 2926: 2885: 2881: 2725:"Cerebral Venous Sinus Thrombosis Incidence Is Higher Than Previously Thought" 2400: 1531: 1514:
Zuurbier SM, van den Berg R, Troost D, Majoie CB, Stam J, Coutinho JM (2015).
960: 877: 832:(EMA) announced that out of the around 20 million people who had received the 803: 775: 564: 351: 329: 235: 201: 112: 2972: 2678: 2532: 2158: 1887: 1827: 1673: 1135: 3895: 3636: 3572: 3528: 3511: 3506: 3377: 2945: 2877: 2263: 2246: 1584: 1566:
Gutiérrez-Zevallos JD, Guarniz-Huamán DA, Sánchez-Landers M (8 April 2021).
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she had sustained 2.5 weeks previously, when she fell while suffering from
529: 2424:"Thrombosis of the dural venous sinuses as a cause of pseudotumor cerebri" 2272: 2207: 2166: 1626: 1195: 4109: 3711: 3648: 3582: 3533: 3415: 3168: 2506: 1244:"EFNS guideline on the treatment of cerebral venous and sinus thrombosis" 1038: 873: 660: 619: 612: 584: 449: 128: 2860: 1943: 1709: 420:
CT venogram showing a filling defect in the sagittal sinus (black arrow)
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in women is behind the disparity between the sexes. A 1995 report from
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Ferro JM, CanhĂŁo P, Stam J, Bousser MG, Barinagarrementeria F (2004).
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Ferro JM, CanhĂŁo P, Bousser MG, Stam J, Barinagarrementeria F (2005).
212:(persistent or recurrent seizure activity for a long period of time). 27:
Presence of a blood clot in the dural venous sinuses or cerebral veins
3502: 3267: 3043: 2872: 607:. The three major mechanisms for such an imbalance are enumerated in 600: 169:, which may warrant surgical intervention such as the placement of a 132: 135:
such as weakness of the face and limbs on one side of the body, and
763:, which increases risk of CVST, is more common in the Middle East. 282:
situations. 85% of people have at least one of these risk factors:
56: 3846: 3060: 2019:"Natural history of cerebral vein thrombosis: a systematic review" 560: 528: 423: 415: 120: 2990:"Clinical guideline Cerebral Venous Sinus Thrombosis in Children" 1182:
Ropper AH, Klein JP (1 July 2021). "Cerebral Venous Thrombosis".
810:, which has similar presenting signs and symptoms in many cases. 3878: 3143: 2825:"Hillary Clinton expected to make full recovery from blood clot" 774:. An estimated 0.3% incidence of CVST in patients infected with 623: 3466: 3012: 1118:
Cumurciuc R, Crassard I, Sarov M, Valade D, Bousser MG (2005).
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Coutinho J, de Bruijn SF, Deveber G, Stam J (10 August 2011).
1293:"Cerebral vein and dural sinus thrombosis in elderly patients" 674:(HIT), auto-immune heparin induced thrombocytopenia (aHIT) or 448:(MRI), both using various types of radiocontrast to perform a 370:
Obesity, especially in combination with oral contraceptive use
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Bousser MG, Chiras J, Bories J, Castaigne P (1 March 1985).
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Li K, Ren M, Meng R, Ding Y, Rajah GB, Wang F, Ji X (2019).
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of 75–100% (it detects 75–100% of all clots present), and a
204:(occurring on one side), but occasionally the seizures are 2221:
Ribes MF (1825). "Des recherches faites sur la phlebite".
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Einhäupl K, Bousser MG, de Bruijn SF, et al. (2006).
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and therefore insufficient blood supply). This results in
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investigations that may detect cerebral sinus thrombosis.
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deVeber G, Andrew M, Adams C, et al. (August 2001).
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Martinelli I, Franchini M, Mannucci PM (September 2008).
2340:"Puerperal cerebral thrombophlebitis treated by heparin" 824:
Embolic and thrombotic events after COVID-19 vaccination
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generally made after death. In the 1940s, reports by Dr
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and infections of the ear, nose and throat area such as
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It is possible for the clot to break off and migrate (
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National Institute for Health and Clinical Excellence
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Diaz JM, Schiffman JS, Urban ES, Maccario M (1992).
1421:"Investigating suspected cerebral venous thrombosis" 308:, a kidney problem causing protein loss in the urine 4224: 4159: 4150: 4085: 4045: 4000: 3904: 3886: 3877: 3845: 3805: 3710: 3670: 3647: 3558: 3549: 3519: 3501: 3439: 3414: 3394: 3376: 3358: 3332: 3323: 3293: 3250: 3212: 3194: 3112: 3059: 3050: 2936: 2854: 1377:"Risk of Cerebral Venous Thrombosis in Obese Women" 842:
Medicines and Healthcare products Regulatory Agency
157:(medications that suppress blood clotting) such as 80: 68: 42: 37: 2017:Dentali F, Gianni M, Crowther MA, Ageno W (2006). 806:in 1951, which also aided in the distinction from 678:(VITT) due to unpredictable effects of heparin on 676:vaccine induced immune thrombotic thrombocytopenia 2247:"Cerebral venous thrombosis—a review of 38 cases" 595:Any blood clot forms due to an imbalance between 536:bordered by hard meninges (shown in blue) direct 766:A 1973 report found that CVST could be found on 1023:"Thrombosis of the cerebral veins and sinuses" 716:treatment (optic nerve sheath fenestration or 599:(the formation of the insoluble blood protein 3478: 3024: 2969:"Intracranial venous thrombosis – Patient UK" 2657:Journal of Pharmaceutical Policy and Practice 2592:"Annex 1: Summary of Product Characteristics" 2333: 2331: 1917:Price M, GĂĽnther A, Kwan JS (21 April 2016). 1516:"Hydrocephalus in cerebral venous thrombosis" 694:European Federation of Neurological Societies 642:Various studies have investigated the use of 615:may also help explain the formation of CVST. 8: 2106:"Cerebral sinovenous thrombosis in children" 1466: 1464: 1414: 1412: 367:Medical procedures in the head and neck area 1016: 1014: 1012: 1010: 1008: 1006: 4156: 4058:Chronic cerebrospinal venous insufficiency 3883: 3555: 3516: 3485: 3471: 3463: 3329: 3056: 3031: 3017: 3009: 2851: 2240: 2238: 2236: 1004: 1002: 1000: 998: 996: 994: 992: 990: 988: 986: 850:Centers for Disease Control and Prevention 452:and visualise the veins around the brain. 131:, visual symptoms, any of the symptoms of 55: 34: 2750:Expert Haematology Panel (7 April 2021). 2686: 2668: 2522: 2447: 2363: 2311: 2262: 2197: 2121: 2034: 1993: 1952: 1942: 1877: 1836: 1826: 1785: 1744: 1721: 1719: 1681: 1616: 1583: 1539: 1444: 1392: 1308: 1259: 1143: 1094: 139:, which occur in around 40% of patients. 1177: 1175: 1173: 1171: 1169: 1167: 1165: 1163: 899: 897: 680:anti-platelet factor-4 antibodies (PF-4) 2099: 2097: 1923:Cochrane Database of Systematic Reviews 1654:Cochrane Database of Systematic Reviews 893: 335:Particular blood disorders, especially 311:Chronic inflammatory diseases, such as 127:, or both. Symptoms may include severe 1866:Journal of NeuroInterventional Surgery 1237: 1235: 1233: 1231: 1229: 1227: 1225: 1223: 1221: 838:disseminated intravascular coagulation 659:in the initial treatment, followed by 3830:Hereditary hemorrhagic telangiectasia 1561: 1559: 1334:Seminars in Thrombosis and Hemostasis 261:. Focal deficits may also present as 7: 3835:Generalized essential telangiectasia 3283:Partial anterior circulation infarct 2422:Ray BS, Dunbar HS (September 1951). 1770:"How I treat rare venous thromboses" 808:idiopathic intracranial hypertension 521:(a propensity to form blood clots). 505:There is an association between the 345:Use of estrogen-containing forms of 101:cerebral venous and sinus thrombosis 1184:The New England Journal of Medicine 834:Oxford–AstraZeneca COVID-19 vaccine 381:, primarily in infants and children 364:Direct injury to the venous sinuses 341:paroxysmal nocturnal hemoglobinuria 198:affecting only one part of the body 3278:Total anterior circulation infarct 3079:Posterior cerebral artery syndrome 1995:10.1161/01.STR.0000117571.76197.26 1618:10.1111/j.1600-0404.1992.tb05106.x 1310:10.1161/01.STR.0000177894.05495.54 25: 3069:Anterior cerebral artery syndrome 2761:. British Society for Haematology 567:(damage to brain tissue due to a 538:blood outflow from cerebral veins 246:and there is abnormal posturing. 3985:Cerebral venous sinus thrombosis 3452:Cerebral venous sinus thrombosis 2988:UCH Institute for Child Health. 2524:10.1136/postgradmedj-2021-141119 2440:10.1097/00000658-195113430-00009 1261:10.1111/j.1468-1331.2006.01398.x 1124:J. Neurol. Neurosurg. Psychiatry 672:Heparin induced thrombocytopenia 93:Cerebral venous sinus thrombosis 38:Cerebral venous sinus thrombosis 3230:Anterior spinal artery syndrome 3074:Middle cerebral artery syndrome 2729:The British Government (gov.uk) 1879:10.1136/neurintsurg-2018-014328 846:British Society for Haematology 332:(the period after giving birth) 3936:Hepatic veno-occlusive disease 2572:(Press release). 25 March 2021 2486:(Press release). 18 March 2021 1935:10.1002/14651858.cd005501.pub4 1666:10.1002/14651858.CD002005.pub2 918:10.1016/j.thromres.2018.07.023 269:(responsible for draining the 1: 3748:Aneurysm of sinus of Valsalva 3602:Monckeberg's arteriosclerosis 3235:Vertebrobasilar insufficiency 2731:(Press release). 7 April 2021 2651:Merchant HA (24 March 2021). 2286:Symonds CP (September 1940). 1710:Clinical guideline 68: Stroke 1485:10.1136/emermed-2018-207777.1 1419:Smith R, Hourihan MD (2007). 483:Magnetic resonance venography 4053:Chronic venous insufficiency 3678:Aortoiliac occlusive disease 2511:Postgraduate Medical Journal 2338:Stansfield FR (April 1942). 2072:10.1097/PEC.0b013e31822c9ccc 1787:10.1182/blood-2008-07-165969 1746:10.1161/STR.0000000000000024 1572:Revista de Neuro-Psiquiatria 1394:10.1001/jamaneurol.2016.0001 1087:10.1001/jamaneurol.2020.1022 657:low molecular weight heparin 649:Clinical practice guidelines 167:raised intracranial pressure 159:low molecular weight heparin 153:Treatment is typically with 142:The diagnosis is usually by 119:(which drain blood from the 85:Low molecular weight heparin 4068:Inferior vena cava syndrome 4063:Superior vena cava syndrome 3790:Vertebral artery dissection 3780:Intracranial berry aneurysm 2288:"Cerebral thrombophlebitis" 2123:10.1056/NEJM200108093450604 1437:10.1136/bmj.39154.636968.47 583:edema), and leads to small 4277: 4169:Hypertensive heart disease 3820:Arteriovenous malformation 3795:Familial aortic dissection 3204:Cerebellar stroke syndrome 3137:Lateral medullary syndrome 2670:10.1186/s40545-021-00315-w 2505:Merchant H (1 July 2022). 2036:10.1182/blood-2005-12-4795 1473:Emergency Medicine Journal 821: 751:suggested that the use of 446:magnetic resonance imaging 313:inflammatory bowel disease 148:magnetic resonance imaging 105:cerebral venous thrombosis 4194:Renovascular hypertension 4137:Hepatic artery thrombosis 3785:Carotid artery dissection 3738:Abdominal aortic aneurysm 3588:Intermittent claudication 3551:Peripheral artery disease 3429:Charcot–Bouchard aneurysm 3273:Transient ischemic attack 3240:Subclavian steal syndrome 3132:Medial medullary syndrome 3122:Brainstem stroke syndrome 2628:European Medicines Agency 2600:European Medicines Agency 2568:European Medicines Agency 2482:European Medicines Agency 2401:10.3171/jns.1951.8.1.0023 2066:(9): 874–80, quiz 881–3. 1532:10.1007/s00415-015-7652-4 961:10.1038/nrneurol.2017.104 830:European Medicines Agency 702:decompressive craniectomy 257:which are drained by the 228:pressure around the brain 63: 54: 18:Cerebral sinus thrombosis 4179:Hypertensive nephropathy 3992:Post-thrombotic syndrome 3973:Paget–Schroetter disease 3765:Coronary artery aneurysm 3743:Thoracic aortic aneurysm 3311:Transient global amnesia 3158:Lateral pontine syndrome 3094:Dejerine–Roussy syndrome 3040:Cerebrovascular diseases 2159:10.1161/01.str.26.7.1193 1828:10.3389/fneur.2019.00511 1136:10.1136/jnnp.2004.056275 876:done for follow-up of a 864:U.S. Secretary of State 854:Janssen COVID-19 vaccine 208:and rarely they lead to 111:), is the presence of a 4234:Orthostatic hypotension 4216:White coat hypertension 3693:Fibromuscular dysplasia 3657:Carotid artery stenosis 3402:Intracranial hemorrhage 3220:Carotid artery stenosis 3149:Medial pontine syndrome 2264:10.1161/01.str.16.2.199 2180:Towbin A (1 May 1973). 1585:10.20453/rnp.v84i1.3933 406:subarachnoid hemorrhage 4206:Pulmonary hypertension 4189:Secondary hypertension 4184:Essential hypertension 4174:Hypertensive emergency 4015:Portacaval anastomosis 3951:Portal vein thrombosis 3593:Critical limb ischemia 3494:Cardiovascular disease 2356:10.1136/bmj.1.4239.436 2304:10.1136/bmj.2.4158.348 2199:10.1161/01.str.4.3.419 1815:Frontiers in Neurology 1346:10.1055/s-0036-1584132 852:paused the use of the 708:(removal of excessive 548: 429: 421: 408:, have been excluded. 347:hormonal contraception 221:level of consciousness 4211:Systolic hypertension 3956:Renal vein thrombosis 3815:Arteriovenous fistula 3807:Vascular malformation 3775:Intracranial aneurysm 3662:Renal artery stenosis 3424:Intracranial aneurysm 3213:Extracranial arteries 1196:10.1056/NEJMra2106545 542:internal jugular vein 532: 462:in the venous phase ( 427: 419: 402:intracranial pressure 302:, or related problems 4125:Paradoxical embolism 4120:Cholesterol embolism 3946:May–Thurner syndrome 3941:Budd–Chiari syndrome 3924:Deep vein thrombosis 3919:primarily lower limb 3698:Raynaud's phenomenon 3360:Cerebral/Intra-axial 3306:Binswanger's disease 2223:Rev. Med. Fr. Etrang 2060:Pediatr. Emerg. Care 1520:Journal of Neurology 1039:10.1056/NEJMra042354 534:Dural venous sinuses 490:Cerebral angiography 265:or confusion if the 183:thunderclap headache 117:dural venous sinuses 4201:Benign hypertension 3447:Cerebral vasculitis 3325:Haemorrhagic stroke 3263:Cerebral infarction 906:Thrombosis Research 878:cerebral concussion 828:In March 2021, the 753:oral contraceptives 710:cerebrospinal fluid 456:Computed tomography 442:computed tomography 192:40% of people have 187:difficulty speaking 144:computed tomography 4115:Pulmonary embolism 4025:Esophageal varices 3963:upper limb / torso 3607:Arteriolosclerosis 3386:Duret haemorrhages 2996:on 2 February 2009 2937:External resources 1605:Acta Neurol. Scand 628:pulmonary embolism 559:and thence to the 553:veins of the brain 549: 432:There are various 430: 422: 374:Sickle cell anemia 306:Nephrotic syndrome 230:may rise, causing 210:status epilepticus 177:Signs and symptoms 4246: 4245: 4242: 4241: 4086:Arteries or veins 4081: 4080: 3906:Venous thrombosis 3873: 3872: 3855:Cherry hemangioma 3755:Aortic dissection 3706: 3705: 3541:Buerger's disease 3460: 3459: 3410: 3409: 3319: 3318: 3184:Claude's syndrome 3179:Benedikt syndrome 2963: 2962: 2829:Los Angeles Times 2350:(4239): 436–438. 736:systematic review 337:polycythemia vera 234:(swelling of the 90: 89: 32:Medical condition 16:(Redirected from 4268: 4157: 3968:Mondor's disease 3911:Thrombophlebitis 3884: 3560:Arteriosclerosis 3556: 3517: 3487: 3480: 3473: 3464: 3368:Intraventricular 3330: 3174:Weber's syndrome 3099:Watershed stroke 3089:Moyamoya disease 3057: 3052:Ischaemic stroke 3033: 3026: 3019: 3010: 3005: 3003: 3001: 2992:. Archived from 2984: 2982: 2980: 2971:. Archived from 2852: 2840: 2839: 2837: 2835: 2820: 2814: 2813: 2811: 2809: 2799: 2793: 2792: 2790: 2788: 2777: 2771: 2770: 2768: 2766: 2756: 2747: 2741: 2740: 2738: 2736: 2721: 2715: 2714: 2707: 2701: 2700: 2690: 2672: 2648: 2642: 2641: 2639: 2637: 2619: 2613: 2612: 2610: 2608: 2596: 2588: 2582: 2581: 2579: 2577: 2559: 2553: 2552: 2526: 2502: 2496: 2495: 2493: 2491: 2473: 2462: 2461: 2451: 2419: 2413: 2412: 2384: 2378: 2377: 2367: 2335: 2326: 2325: 2315: 2298:(4158): 348–52. 2283: 2277: 2276: 2266: 2242: 2231: 2230: 2218: 2212: 2211: 2201: 2177: 2171: 2170: 2142: 2136: 2135: 2125: 2101: 2092: 2091: 2055: 2049: 2048: 2038: 2014: 2008: 2007: 1997: 1973: 1967: 1966: 1956: 1946: 1914: 1908: 1907: 1881: 1857: 1851: 1850: 1840: 1830: 1806: 1800: 1799: 1789: 1765: 1759: 1758: 1748: 1739:(7): 2160–2236. 1723: 1714: 1702: 1696: 1695: 1685: 1645: 1639: 1638: 1620: 1596: 1590: 1589: 1587: 1563: 1554: 1553: 1543: 1511: 1505: 1504: 1468: 1459: 1458: 1448: 1416: 1407: 1406: 1396: 1372: 1366: 1365: 1329: 1323: 1322: 1312: 1288: 1282: 1281: 1263: 1239: 1216: 1215: 1179: 1158: 1157: 1147: 1115: 1109: 1108: 1098: 1065: 1059: 1058: 1018: 981: 980: 944: 938: 937: 901: 870:transverse sinus 818:COVID-19 vaccine 761:Behçet's disease 477:empty delta sign 321:Behçet's disease 290:, deficiency of 244:heart rate falls 219:and a depressed 59: 46:Cerebral venous 35: 21: 4276: 4275: 4271: 4270: 4269: 4267: 4266: 4265: 4251: 4250: 4247: 4238: 4220: 4146: 4103:Microangiopathy 4098:Macroangiopathy 4077: 4041: 4010:Gastric varices 3996: 3909: 3900: 3869: 3841: 3801: 3733:Aortic aneurysm 3719: 3702: 3688:Erythromelalgia 3666: 3643: 3568:Atherosclerosis 3545: 3509: 3497: 3491: 3461: 3456: 3435: 3406: 3390: 3372: 3354: 3315: 3289: 3246: 3208: 3190: 3108: 3084:Amaurosis fugax 3046: 3037: 2999: 2997: 2987: 2978: 2976: 2967: 2964: 2959: 2958: 2932: 2931: 2863: 2849: 2844: 2843: 2833: 2831: 2822: 2821: 2817: 2807: 2805: 2801: 2800: 2796: 2786: 2784: 2779: 2778: 2774: 2764: 2762: 2754: 2749: 2748: 2744: 2734: 2732: 2723: 2722: 2718: 2713:. 7 April 2021. 2709: 2708: 2704: 2650: 2649: 2645: 2635: 2633: 2632:. 24 March 2021 2621: 2620: 2616: 2606: 2604: 2594: 2590: 2589: 2585: 2575: 2573: 2561: 2560: 2556: 2504: 2503: 2499: 2489: 2487: 2475: 2474: 2465: 2421: 2420: 2416: 2386: 2385: 2381: 2337: 2336: 2329: 2285: 2284: 2280: 2244: 2243: 2234: 2220: 2219: 2215: 2179: 2178: 2174: 2144: 2143: 2139: 2110:N. Engl. J. Med 2103: 2102: 2095: 2057: 2056: 2052: 2016: 2015: 2011: 1975: 1974: 1970: 1929:(4): CD005501. 1916: 1915: 1911: 1859: 1858: 1854: 1808: 1807: 1803: 1780:(13): 4818–23. 1767: 1766: 1762: 1725: 1724: 1717: 1713:. London, 2008. 1703: 1699: 1660:(8): CD002005. 1647: 1646: 1642: 1598: 1597: 1593: 1565: 1564: 1557: 1513: 1512: 1508: 1470: 1469: 1462: 1431:(7597): 794–5. 1418: 1417: 1410: 1374: 1373: 1369: 1331: 1330: 1326: 1290: 1289: 1285: 1241: 1240: 1219: 1181: 1180: 1161: 1117: 1116: 1112: 1067: 1066: 1062: 1027:N. Engl. J. Med 1021:Stam J (2005). 1020: 1019: 984: 946: 945: 941: 903: 902: 895: 890: 882:gastroenteritis 866:Hillary Clinton 862: 826: 820: 797:lumbar puncture 793:Charles Symonds 788: 748: 731: 722:anticonvulsants 706:lumbar puncture 684:plasma exchange 644:anticoagulation 640: 609:Virchow's triad 527: 515: 503: 414: 398: 385:Homocysteinemia 288:factor V Leiden 279: 273:) is affected. 259:vein of Trolard 179: 33: 28: 23: 22: 15: 12: 11: 5: 4274: 4272: 4264: 4263: 4253: 4252: 4244: 4243: 4240: 4239: 4237: 4236: 4230: 4228: 4222: 4221: 4219: 4218: 4213: 4208: 4203: 4198: 4197: 4196: 4186: 4181: 4176: 4171: 4165: 4163: 4154: 4152:Blood pressure 4148: 4147: 4145: 4144: 4139: 4134: 4129: 4128: 4127: 4122: 4117: 4107: 4106: 4105: 4100: 4089: 4087: 4083: 4082: 4079: 4078: 4076: 4075: 4070: 4065: 4060: 4055: 4049: 4047: 4043: 4042: 4040: 4039: 4034: 4033: 4032: 4027: 4022: 4012: 4006: 4004: 4002:Varicose veins 3998: 3997: 3995: 3994: 3989: 3988: 3987: 3977: 3976: 3975: 3970: 3960: 3959: 3958: 3953: 3948: 3943: 3938: 3928: 3927: 3926: 3915: 3913: 3902: 3901: 3899: 3898: 3892: 3890: 3881: 3875: 3874: 3871: 3870: 3868: 3867: 3865:Spider angioma 3862: 3857: 3851: 3849: 3847:Vascular nevus 3843: 3842: 3840: 3839: 3838: 3837: 3832: 3825:Telangiectasia 3822: 3817: 3811: 3809: 3803: 3802: 3800: 3799: 3798: 3797: 3792: 3787: 3782: 3777: 3767: 3762: 3760:Aortic rupture 3757: 3752: 3751: 3750: 3745: 3740: 3725: 3723: 3721:pseudoaneurysm 3708: 3707: 3704: 3703: 3701: 3700: 3695: 3690: 3685: 3680: 3674: 3672: 3668: 3667: 3665: 3664: 3659: 3653: 3651: 3645: 3644: 3642: 3641: 3640: 3639: 3634: 3632:Oxycholesterol 3629: 3624: 3619: 3614: 3604: 3598: 3597: 3596: 3595: 3590: 3585: 3580: 3575: 3564: 3562: 3553: 3547: 3546: 3544: 3543: 3538: 3537: 3536: 3525: 3523: 3514: 3499: 3498: 3492: 3490: 3489: 3482: 3475: 3467: 3458: 3457: 3455: 3454: 3449: 3443: 3441: 3437: 3436: 3434: 3433: 3432: 3431: 3420: 3418: 3412: 3411: 3408: 3407: 3405: 3404: 3398: 3396: 3392: 3391: 3389: 3388: 3382: 3380: 3374: 3373: 3371: 3370: 3364: 3362: 3356: 3355: 3353: 3352: 3347: 3342: 3336: 3334: 3327: 3321: 3320: 3317: 3316: 3314: 3313: 3308: 3303: 3297: 3295: 3291: 3290: 3288: 3287: 3286: 3285: 3280: 3275: 3268:Classification 3265: 3260: 3258:Brain ischemia 3254: 3252: 3251:Classification 3248: 3247: 3245: 3244: 3243: 3242: 3232: 3227: 3222: 3216: 3214: 3210: 3209: 3207: 3206: 3200: 3198: 3192: 3191: 3189: 3188: 3187: 3186: 3181: 3176: 3166: 3165: 3164: 3162:Millard-Gubler 3155: 3141: 3140: 3139: 3134: 3124: 3118: 3116: 3110: 3109: 3107: 3106: 3104:Lacunar stroke 3101: 3096: 3091: 3086: 3081: 3076: 3071: 3065: 3063: 3054: 3048: 3047: 3038: 3036: 3035: 3028: 3021: 3013: 3007: 3006: 2985: 2975:on 12 May 2008 2961: 2960: 2957: 2956: 2941: 2940: 2938: 2934: 2933: 2930: 2929: 2918: 2907: 2888: 2864: 2859: 2858: 2856: 2855:Classification 2848: 2847:External links 2845: 2842: 2841: 2823:Paul Richter. 2815: 2794: 2772: 2742: 2716: 2702: 2643: 2614: 2583: 2554: 2497: 2463: 2414: 2379: 2327: 2278: 2257:(2): 199–213. 2232: 2213: 2172: 2137: 2093: 2050: 2029:(4): 1129–34. 2009: 1968: 1909: 1872:(3): 307–312. 1852: 1801: 1760: 1715: 1697: 1640: 1591: 1555: 1506: 1479:(6): 396–397. 1460: 1408: 1387:(5): 579–584. 1381:JAMA Neurology 1367: 1340:(6): 622–631. 1324: 1303:(9): 1927–32. 1283: 1248:Eur. J. Neurol 1217: 1159: 1110: 1081:(8): 966–973. 1075:JAMA Neurology 1060: 1033:(17): 1791–8. 982: 955:(9): 555–565. 949:Nat Rev Neurol 939: 892: 891: 889: 886: 861: 858: 819: 816: 787: 784: 747: 744: 730: 727: 651:now recommend 639: 636: 573:cerebral edema 526: 523: 514: 511: 502: 499: 494:femoral artery 438:Cerebral edema 413: 410: 397: 394: 393: 392: 390:Homocystinuria 387: 382: 376: 371: 368: 365: 362: 349: 343: 333: 323: 309: 303: 278: 275: 240:blood pressure 178: 175: 155:anticoagulants 125:cerebral veins 88: 87: 82: 78: 77: 72: 66: 65: 61: 60: 52: 51: 44: 40: 39: 31: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 4273: 4262: 4259: 4258: 4256: 4249: 4235: 4232: 4231: 4229: 4227: 4223: 4217: 4214: 4212: 4209: 4207: 4204: 4202: 4199: 4195: 4192: 4191: 4190: 4187: 4185: 4182: 4180: 4177: 4175: 4172: 4170: 4167: 4166: 4164: 4162: 4158: 4155: 4153: 4149: 4143: 4140: 4138: 4135: 4133: 4130: 4126: 4123: 4121: 4118: 4116: 4113: 4112: 4111: 4108: 4104: 4101: 4099: 4096: 4095: 4094: 4091: 4090: 4088: 4084: 4074: 4071: 4069: 4066: 4064: 4061: 4059: 4056: 4054: 4051: 4050: 4048: 4044: 4038: 4035: 4031: 4028: 4026: 4023: 4021: 4020:Caput medusae 4018: 4017: 4016: 4013: 4011: 4008: 4007: 4005: 4003: 3999: 3993: 3990: 3986: 3983: 3982: 3981: 3978: 3974: 3971: 3969: 3966: 3965: 3964: 3961: 3957: 3954: 3952: 3949: 3947: 3944: 3942: 3939: 3937: 3934: 3933: 3932: 3929: 3925: 3922: 3921: 3920: 3917: 3916: 3914: 3912: 3907: 3903: 3897: 3894: 3893: 3891: 3889: 3885: 3882: 3880: 3876: 3866: 3863: 3861: 3858: 3856: 3853: 3852: 3850: 3848: 3844: 3836: 3833: 3831: 3828: 3827: 3826: 3823: 3821: 3818: 3816: 3813: 3812: 3810: 3808: 3804: 3796: 3793: 3791: 3788: 3786: 3783: 3781: 3778: 3776: 3773: 3772: 3771: 3768: 3766: 3763: 3761: 3758: 3756: 3753: 3749: 3746: 3744: 3741: 3739: 3736: 3735: 3734: 3730: 3727: 3726: 3724: 3722: 3717: 3713: 3709: 3699: 3696: 3694: 3691: 3689: 3686: 3684: 3683:Degos disease 3681: 3679: 3676: 3675: 3673: 3669: 3663: 3660: 3658: 3655: 3654: 3652: 3650: 3646: 3638: 3635: 3633: 3630: 3628: 3625: 3623: 3620: 3618: 3615: 3613: 3610: 3609: 3608: 3605: 3603: 3600: 3599: 3594: 3591: 3589: 3586: 3584: 3581: 3579: 3576: 3574: 3571: 3570: 3569: 3566: 3565: 3563: 3561: 3557: 3554: 3552: 3548: 3542: 3539: 3535: 3532: 3531: 3530: 3527: 3526: 3524: 3522: 3518: 3515: 3513: 3508: 3504: 3500: 3495: 3488: 3483: 3481: 3476: 3474: 3469: 3468: 3465: 3453: 3450: 3448: 3445: 3444: 3442: 3438: 3430: 3427: 3426: 3425: 3422: 3421: 3419: 3417: 3413: 3403: 3400: 3399: 3397: 3393: 3387: 3384: 3383: 3381: 3379: 3375: 3369: 3366: 3365: 3363: 3361: 3357: 3351: 3348: 3346: 3343: 3341: 3338: 3337: 3335: 3331: 3328: 3326: 3322: 3312: 3309: 3307: 3304: 3302: 3299: 3298: 3296: 3292: 3284: 3281: 3279: 3276: 3274: 3271: 3270: 3269: 3266: 3264: 3261: 3259: 3256: 3255: 3253: 3249: 3241: 3238: 3237: 3236: 3233: 3231: 3228: 3226: 3223: 3221: 3218: 3217: 3215: 3211: 3205: 3202: 3201: 3199: 3197: 3193: 3185: 3182: 3180: 3177: 3175: 3172: 3171: 3170: 3167: 3163: 3159: 3156: 3154: 3150: 3147: 3146: 3145: 3142: 3138: 3135: 3133: 3130: 3129: 3128: 3125: 3123: 3120: 3119: 3117: 3115: 3111: 3105: 3102: 3100: 3097: 3095: 3092: 3090: 3087: 3085: 3082: 3080: 3077: 3075: 3072: 3070: 3067: 3066: 3064: 3062: 3058: 3055: 3053: 3049: 3045: 3041: 3034: 3029: 3027: 3022: 3020: 3015: 3014: 3011: 2995: 2991: 2986: 2974: 2970: 2966: 2965: 2955: 2952: 2948: 2947: 2943: 2942: 2939: 2935: 2928: 2924: 2923: 2919: 2917: 2913: 2912: 2908: 2906: 2902: 2898: 2897: 2893: 2889: 2887: 2883: 2879: 2875: 2874: 2870: 2866: 2865: 2862: 2857: 2853: 2846: 2830: 2826: 2819: 2816: 2804: 2798: 2795: 2783: 2776: 2773: 2760: 2753: 2746: 2743: 2730: 2726: 2720: 2717: 2712: 2706: 2703: 2698: 2694: 2689: 2684: 2680: 2676: 2671: 2666: 2662: 2658: 2654: 2647: 2644: 2631: 2629: 2624: 2618: 2615: 2603: 2601: 2593: 2587: 2584: 2571: 2569: 2564: 2558: 2555: 2550: 2546: 2542: 2538: 2534: 2530: 2525: 2520: 2516: 2512: 2508: 2501: 2498: 2485: 2483: 2478: 2472: 2470: 2468: 2464: 2459: 2455: 2450: 2445: 2441: 2437: 2434:(3): 376–86. 2433: 2429: 2425: 2418: 2415: 2410: 2406: 2402: 2398: 2394: 2390: 2383: 2380: 2375: 2371: 2366: 2361: 2357: 2353: 2349: 2345: 2341: 2334: 2332: 2328: 2323: 2319: 2314: 2309: 2305: 2301: 2297: 2293: 2289: 2282: 2279: 2274: 2270: 2265: 2260: 2256: 2252: 2248: 2241: 2239: 2237: 2233: 2228: 2224: 2217: 2214: 2209: 2205: 2200: 2195: 2192:(3): 419–30. 2191: 2187: 2183: 2176: 2173: 2168: 2164: 2160: 2156: 2153:(7): 1193–5. 2152: 2148: 2141: 2138: 2133: 2129: 2124: 2119: 2116:(6): 417–23. 2115: 2111: 2107: 2100: 2098: 2094: 2089: 2085: 2081: 2077: 2073: 2069: 2065: 2061: 2054: 2051: 2046: 2042: 2037: 2032: 2028: 2024: 2020: 2013: 2010: 2005: 2001: 1996: 1991: 1988:(3): 664–70. 1987: 1983: 1979: 1972: 1969: 1964: 1960: 1955: 1950: 1945: 1940: 1936: 1932: 1928: 1924: 1920: 1913: 1910: 1905: 1901: 1897: 1893: 1889: 1885: 1880: 1875: 1871: 1867: 1863: 1856: 1853: 1848: 1844: 1839: 1834: 1829: 1824: 1820: 1816: 1812: 1805: 1802: 1797: 1793: 1788: 1783: 1779: 1775: 1771: 1764: 1761: 1756: 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1072: 1064: 1061: 1056: 1052: 1048: 1044: 1040: 1036: 1032: 1028: 1024: 1017: 1015: 1013: 1011: 1009: 1007: 1005: 1003: 1001: 999: 997: 995: 993: 991: 989: 987: 983: 978: 974: 970: 966: 962: 958: 954: 950: 943: 940: 935: 931: 927: 923: 919: 915: 911: 907: 900: 898: 894: 887: 885: 883: 879: 875: 871: 867: 860:Notable cases 859: 857: 855: 851: 847: 843: 839: 835: 831: 825: 817: 815: 811: 809: 805: 800: 798: 794: 785: 783: 779: 777: 773: 772:heart failure 769: 764: 762: 758: 754: 745: 743: 740: 737: 728: 726: 723: 719: 715: 714:neurosurgical 711: 707: 703: 698: 695: 691: 687: 686:may be used. 685: 681: 677: 673: 668: 664: 662: 658: 654: 650: 645: 637: 635: 631: 629: 625: 621: 616: 614: 610: 606: 602: 598: 593: 591: 590:hydrocephalus 586: 582: 578: 574: 570: 566: 562: 558: 554: 547: 546:base of skull 543: 539: 535: 531: 524: 522: 520: 519:thrombophilia 513:Further tests 512: 510: 508: 500: 498: 495: 491: 487: 484: 480: 478: 474: 470: 465: 464:CT venography 461: 460:radiocontrast 457: 453: 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Neurosurg 2388: 2382: 2347: 2343: 2295: 2291: 2281: 2254: 2250: 2226: 2222: 2216: 2189: 2185: 2175: 2150: 2146: 2140: 2113: 2109: 2063: 2059: 2053: 2026: 2022: 2012: 1985: 1981: 1971: 1944:10722/226344 1926: 1922: 1912: 1869: 1865: 1855: 1818: 1814: 1804: 1777: 1773: 1763: 1736: 1732: 1708: 1700: 1657: 1653: 1643: 1611:(4): 390–6. 1608: 1604: 1594: 1578:(1): 19–24. 1575: 1571: 1526:(4): 931–7. 1523: 1519: 1509: 1476: 1472: 1428: 1424: 1384: 1380: 1370: 1337: 1333: 1327: 1300: 1296: 1286: 1254:(6): 553–9. 1251: 1247: 1190:(1): 59–64. 1187: 1183: 1127: 1123: 1113: 1078: 1074: 1063: 1030: 1026: 952: 948: 942: 909: 905: 863: 827: 812: 801: 789: 780: 765: 757:Saudi Arabia 749: 746:Epidemiology 741: 732: 699: 690:Thrombolysis 688: 669: 665: 641: 632: 626:, causing a 617: 605:fibrinolysis 594: 580: 576: 557:jugular vein 550: 525:Pathogenesis 516: 504: 488: 481: 463: 454: 434:neuroimaging 431: 399: 300:antithrombin 280: 248: 225: 214: 191: 180: 163:thrombolysis 152: 141: 108: 104: 100: 96: 92: 91: 47: 29: 4226:Hypotension 3770:head / neck 3622:Cholesterol 3512:capillaries 3333:Extra-axial 3225:precerebral 912:: 135–139. 597:coagulation 473:specificity 469:sensitivity 379:Dehydration 356:mastoiditis 242:rises, the 232:papilledema 206:generalised 64:Dural veins 43:Other names 4142:Vasculitis 4132:Thrombosis 4093:Angiopathy 4037:Varicocele 4030:Hemorrhoid 3860:Halo nevus 3716:dissection 3507:arterioles 3196:Cerebellum 3114:Brain stem 3042:including 3000:28 October 2979:28 October 2922:DiseasesDB 2759:BSH.org.uk 2344:Br. Med. J 2292:Br. Med. J 888:References 822:See also: 804:venography 776:SARS-CoV-2 565:infarction 352:Meningitis 330:puerperium 236:optic disc 202:unilateral 161:. Rarely, 113:blood clot 3896:Phlebitis 3637:Trans fat 3573:Foam cell 3529:Arteritis 3496:(vessels) 3378:Brainstem 3153:Foville's 2954:radio/105 2951:neuro/642 2946:eMedicine 2834:1 January 2780:Marks P. 2679:2052-3211 2663:(1): 32. 2549:238229239 2533:0032-5473 2428:Ann. Surg 1888:1759-8486 1674:1469-493X 1212:235697487 729:Prognosis 638:Treatment 622:) to the 585:petechial 581:cytotoxic 577:vasogenic 569:congested 444:(CT) and 396:Diagnosis 360:sinusitis 326:Pregnancy 296:protein S 292:protein C 81:Treatment 75:Neurology 70:Specialty 4255:Category 4110:Embolism 3712:Aneurysm 3649:Stenosis 3583:Atheroma 3534:Aortitis 3503:Arteries 3416:Aneurysm 3345:Subdural 3340:Epidural 3169:Midbrain 2787:13 April 2765:29 April 2697:33761987 2636:25 March 2607:29 March 2576:25 March 2541:34588294 2490:18 March 2458:14869026 2409:14804146 2374:20784169 2322:20783290 2132:11496852 2088:11390572 2080:21926891 2045:16609071 2004:14976332 1963:27098266 1904:53253904 1896:30389898 1847:31156540 1796:18805965 1755:24788967 1692:21833941 1635:29728372 1550:25663408 1501:29151203 1493:29784833 1455:17431266 1403:26974867 1362:24465003 1354:27272966 1319:16100024 1278:17618264 1270:16796579 1204:34192432 1154:16024884 1105:32421159 1055:42126852 1047:15858188 977:54526187 969:28820187 934:51876550 926:30056293 874:MRI scan 718:shunting 661:warfarin 620:embolise 613:COVID-19 450:venogram 194:seizures 137:seizures 129:headache 3931:abdomen 3612:Hyaline 3395:General 3301:CADASIL 3127:Medulla 2916:D012851 2808:18 June 2735:8 April 2688:7988638 2449:1802934 2365:2164893 2313:2179068 2273:3975957 2229:: 5–41. 2208:4713031 2167:7604412 1954:7265129 1838:6529953 1821:: 511. 1683:7065450 1627:1455986 1541:4412517 1446:1852020 1425:The BMJ 1145:1739763 1096:7235912 786:History 768:autopsy 653:heparin 544:at the 540:to the 507:D-dimer 501:D-dimer 458:, with 412:Imaging 263:aphasia 251:frontal 123:), the 115:in the 4261:Stroke 3044:stroke 2695:  2685:  2677:  2547:  2539:  2531:  2456:  2446:  2407:  2372:  2362:  2320:  2310:  2271:  2251:Stroke 2206:  2186:Stroke 2165:  2147:Stroke 2130:  2086:  2078:  2043:  2002:  1982:Stroke 1961:  1951:  1902:  1894:  1886:  1845:  1835:  1794:  1753:  1733:Stroke 1690:  1680:  1672:  1633:  1625:  1548:  1538:  1499:  1491:  1453:  1443:  1401:  1360:  1352:  1317:  1297:Stroke 1276:  1268:  1210:  1202:  1152:  1142:  1103:  1093:  1053:  1045:  975:  967:  932:  924:  712:), or 603:) and 601:fibrin 575:(both 277:Causes 133:stroke 4046:Other 3879:Veins 3729:torso 3671:Other 3440:Other 3294:Other 3061:Brain 2905:437.6 2886:I67.6 2882:I63.6 2755:(PDF) 2630:(EMA) 2602:(EMA) 2595:(PDF) 2570:(EMA) 2545:S2CID 2484:(EMA) 2084:S2CID 2023:Blood 1900:S2CID 1774:Blood 1631:S2CID 1497:S2CID 1358:S2CID 1274:S2CID 1208:S2CID 1051:S2CID 973:S2CID 930:S2CID 624:lungs 561:heart 317:lupus 171:shunt 121:brain 3980:head 3510:and 3144:Pons 3002:2007 2981:2007 2927:2242 2911:MeSH 2896:9-CM 2836:2013 2810:2021 2789:2021 2767:2021 2737:2021 2693:PMID 2675:ISSN 2638:2021 2609:2021 2578:2021 2537:PMID 2529:ISSN 2492:2021 2454:PMID 2405:PMID 2370:PMID 2318:PMID 2269:PMID 2204:PMID 2163:PMID 2128:PMID 2076:PMID 2041:PMID 2000:PMID 1959:PMID 1927:2016 1892:PMID 1884:ISSN 1843:PMID 1792:PMID 1751:PMID 1688:PMID 1670:ISSN 1658:2011 1623:PMID 1546:PMID 1489:PMID 1451:PMID 1399:PMID 1350:PMID 1315:PMID 1266:PMID 1200:PMID 1150:PMID 1101:PMID 1043:PMID 965:PMID 922:PMID 579:and 551:The 358:and 339:and 328:and 319:and 226:The 200:and 97:CVST 3627:LDL 2901:325 2892:ICD 2878:G08 2869:ICD 2683:PMC 2665:doi 2519:doi 2444:PMC 2436:doi 2432:134 2397:doi 2360:PMC 2352:doi 2308:PMC 2300:doi 2259:doi 2194:doi 2155:doi 2118:doi 2114:345 2068:doi 2031:doi 2027:108 1990:doi 1949:PMC 1939:hdl 1931:doi 1874:doi 1833:PMC 1823:doi 1782:doi 1778:112 1741:doi 1678:PMC 1662:doi 1613:doi 1580:doi 1536:PMC 1528:doi 1524:262 1481:doi 1441:PMC 1433:doi 1429:334 1389:doi 1342:doi 1305:doi 1256:doi 1192:doi 1188:385 1140:PMC 1132:doi 1091:PMC 1083:doi 1035:doi 1031:352 957:doi 914:doi 910:169 655:or 298:or 253:or 109:CVT 103:or 99:), 48:and 4257:: 3731:: 3714:/ 3505:, 3160:/ 3151:/ 2949:: 2925:: 2914:: 2903:, 2899:: 2884:, 2880:, 2876:: 2873:10 2827:. 2757:. 2727:. 2691:. 2681:. 2673:. 2661:14 2659:. 2655:. 2625:. 2597:. 2565:. 2543:. 2535:. 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Index

Cerebral sinus thrombosis

Specialty
Neurology
Low molecular weight heparin
blood clot
dural venous sinuses
brain
cerebral veins
headache
stroke
seizures
computed tomography
magnetic resonance imaging
anticoagulants
low molecular weight heparin
thrombolysis
raised intracranial pressure
shunt
thunderclap headache
difficulty speaking
seizures
affecting only one part of the body
unilateral
generalised
status epilepticus
mental status
level of consciousness
pressure around the brain
papilledema

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