Treatment
The treatment of cerebral venous thrombosis entails consideration of the underlying aetiology:
- primary thrombosis - anticoagulants with adequate attention given to the risk of haemorrhage
- people diagnosed with cerebral venous sinus thrombosis (including those with secondary cerebral haemorrhage) should be given full-dose anticoagulation treatment (initially full-dose heparin and then warfarin [INR 2–3]) unless there are comorbidities that preclude its use (1)
- people diagnosed with cerebral venous sinus thrombosis (including those with secondary cerebral haemorrhage) should be given full-dose anticoagulation treatment (initially full-dose heparin and then warfarin [INR 2–3]) unless there are comorbidities that preclude its use (1)
- secondary thrombosis:
- antibiotics if infectious
- anticonvulsants
- surgical drainage of sinuses if these are the source of infection
- mastoidectomy may be indicated if the cause was an acute mastoiditis
- anticoagulants are unlikely to be required
- high dose dexamethasone to reduce cerebral oedema
Reference:
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