TY - JOUR
T1 - Cerebral Venous Thrombosis. A Challenging Neurologic Diagnosis
AU - Long, Brit
AU - Koyfman, Alex
AU - Runyon, Michael S.
PY - 2017
Y1 - 2017
N2 - 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.
AB - 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.
KW - Anticoagulation
KW - Cerebral venous thrombosis
KW - Focal neurologic deficit
KW - Seizure
KW - Stroke
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U2 - 10.1016/j.emc.2017.07.004
DO - 10.1016/j.emc.2017.07.004
M3 - Article
C2 - 28987433
AN - SCOPUS:85028336680
SN - 0733-8627
JO - Emergency Medicine Clinics of North America
JF - Emergency Medicine Clinics of North America
ER -