Cerebral Venous Thrombosis by Dr A T Alibhoy
Channel: ASN Neurology
Date: 2021-08-01

Webinar 23 - 10 Pearls Series

Webinar series conducted by the Association of Sri Lankan Neurologists targeted at the Medical Officers, Medical Registrars, General Physicians, Family Physicians and Medical Students. A journey of 32 neurology topics, each with 10 pearls.

The twenty-third lecture in the series, Cerebral Venous Thrombosis is delivered by Dr AT Alibhoy. He is a past-president of the Association of Sri Lankan Neurologists. 

10 Pearls of this lecture
1. CVT is uncommon and needs a high index of suspicion for diagnosis.
2. Main pathophysiological findings are increased venular and capillary pressure and decreased CSF absorption.
3. Superficial sinus thrombosis is commoner than deep sinus thrombosis.
4.Prothrombotic states, puerperium, pregnancy and OCP are the main risk factors, while no case is identified in about 25% cases
5. Four presentations of CVT are intracranial HT, focal neurological deficit and encephalopathy
6. Deep CVT cause infarction of bilateral basal ganglia and thalami
7. Neuro-imaging is the mainstay in the diagnosis
8. Anti-coagulation should be commenced immediately regardless of whether hemorrhage is present
9. IV heparin or sc LMWH are first-line therapies followed by warfarin for long term therapy
10. Duration of therapy is dependent on the underlying cause - provoked, unprovoked etc

Thumbnail artwork credits - Photo by Anna Shvets from Pexels

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