Therapeutic Advances in Understanding Pathophysiology and Treatment of Cerebral Venous Sinus Thrombosis

被引:1
作者
Gokhale, Sankalp [1 ]
Lahoti, Sourabh A. [2 ]
机构
[1] Beth Israel Deaconess Med Ctr, Dept Neurol, Boston, MA 02215 USA
[2] Beth Israel Deaconess Med Ctr, Dept Neurol, Cerebrovasc Div, Boston, MA 02215 USA
关键词
cerebral venous sinus thrombosis; stroke; thrombolysis; ORAL-CONTRACEPTIVES; VEIN THROMBOSIS; RISK-FACTORS; THROMBOEMBOLISM; THROMBOPHILIA;
D O I
10.1097/MJT.0b013e31822b561e
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Cerebral venous sinus thrombosis is an important cause of stroke in young population. A thorough understanding of its pathophysiology, clinical, and radiological features is needed for an early and timely diagnosis to initiate appropriate treatment before the disease becomes worse and difficult to manage. In this study, the recent advances in the therapeutics of cerebral venous thrombosis with brief overview of epidemiology, clinical features, and imaging modalities were reviewed. With emerging imaging modalities and therapeutic options, there has been a progress in ease of ability to diagnose and treat cerebral venous thrombosis, but because of the lack of a much-needed randomized controlled trial, there is deficiency of a standardized algorithm/protocol for treatment of cerebral sinus thrombosis, which remains mostly at the discretion of experiences of treating physicians. In this study, the presently available treatment and diagnostic modalities with pros and cons of each of them were reviewed.
引用
收藏
页码:137 / 139
页数:3
相关论文
共 26 条
[1]   Cerebral venous sinus thrombosis [J].
Allroggen, H ;
Abbott, RJ .
POSTGRADUATE MEDICAL JOURNAL, 2000, 76 (891) :12-+
[2]  
[Anonymous], 1995, LANCET, V346, P1575
[3]  
[Anonymous], NEUROL NEUROSCI
[4]   Prevalence of hereditary thrombophilia in patients with thrombosis in different venous systems [J].
Bombeli, T ;
Basic, A ;
Fehr, J .
AMERICAN JOURNAL OF HEMATOLOGY, 2002, 70 (02) :126-132
[5]  
Bousser M G., 1992, Stroke: pathophysiology, diagnosis and management, V2nd edn, P517
[6]  
Cohen JE, 2009, ISR MED ASSOC J, V11, P685
[7]   Cerebral Venous and Sinus Thrombosis in Women [J].
Coutinho, Jonathan M. ;
Ferro, Jose M. ;
Canhao, Patricia ;
Barinagarrementeria, Fernando ;
Cantu, Carlos ;
Bousser, Marie-Germaine ;
Stam, Jan .
STROKE, 2009, 40 (07) :2356-2361
[8]   Thunderclap headache as first symptom of cerebral venous sinus thrombosis [J].
deBruijn, SFTM ;
Stam, J ;
Kappelle, LJ .
LANCET, 1996, 348 (9042) :1623-1625
[9]   EFNS guideline on the treatment of cerebral venous and sinus thrombosis [J].
Einhaeupl, K. ;
Bousser, M. -G. ;
de Bruijn, S. F. T. M. ;
Ferro, J. M. ;
Martinelli, I. ;
Masuhr, F. ;
Stam, J. .
EUROPEAN JOURNAL OF NEUROLOGY, 2006, 13 (06) :553-559
[10]   Prognosis of cerebral vein and dural sinus thrombosis - Results of the International Study on Cerebral Vein and Dural Sinus Thrombosis (ISCVT) [J].
Ferro, JM ;
Canhao, P ;
Stam, J ;
Bousser, MG ;
Barinagarrementeria, F .
STROKE, 2004, 35 (03) :664-670