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Venous sinus thrombosis of the brain

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Venous sinus thrombosis of the brain

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X-ray brain, X-ray

Thrombosis of the venous sinuses of thebrain is a relatively rare condition that is classified as a so-called venous stroke. It accounts for up to approximately 1% of all strokes. Recent scientific studies confirm that this problem affects women more often than men. The symptoms of thrombosis are very non-specific, which leads to problems in the clear and rapid diagnosis of the disease. What should we know about venous sinus thrombosis?

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Cerebral venous sinus thrombosis (CVST ) continues to be a significant problem for doctors and researchers worldwide. Of particular interest at the present time is research aimed at understanding the cause of the development of venous sinus thrombosis.

Today, it is known that factors predisposing to the development of intracranial thrombosis include:

  1. Brain injuries
  2. Brain tumours
  3. Frequent inflammation of the ears
  4. Sepsis
  5. Endocarditis
  6. Circulatory failure
  7. Hormonal contraception and any endocrine disorders
  8. Meningitis
  9. Tumours
  10. Antiphospholipid syndrome
  11. Intravenous fluid administration

Particular attention is paid to the period of pregnancy in the case of this condition, as it can pose a direct threat to the health and even life of the mother-to-be.

The symptoms most commonly accompanying patients with venous sinus thrombosis are:

  1. Frequent headaches
  2. Nausea, vomiting
  3. Visual disturbances with swelling of the optic disc
  4. Disorders of consciousness
  5. Pain in the face
  6. Ocular pain, exophthalmos
  7. Thrombosis of the internal jugular vein
  8. Cortical vein thrombosis
  9. Thrombosis of the vein of Galen
  10. Thrombosis of the superior sagittal sinus

Symptoms are an individual issue for each patient. Most people do not initially see a specialist as they assume they will resolve spontaneously. However, as the disease progresses, they become more severe. The only way to diagnose cerebral venous sinus thrombosis is by neuroimaging (CT, MRI). Symptomatic treatment of venous sinus thrombosis with early elimination of the underlying cause is currently used. A key issue is the implementation of thromboprophylaxis and treatment with heparin.
In particularly difficult and severe cases, it remains necessary to include thrombolytic treatment. Hormonal contraception should not be used for women at risk of developing this disease.