Summary Despite substantial progress in the study of CVT in recent years, much of the literature remains descriptive A randomized clinical trial compa
{"Image DocumentName": "Proposed Algorithm for the Management of CVT", "Image ImageDescription": "Clinical suspicion of CVT. No evidence of CVT. Consider other differential diagnosis. Arterial Stroke. Idiopathic intracranial hypertension. Meningitis. Idiopathic intracranial hypotension. Brain abscess. Brain neoplasm, among others. MRI T2  weighted imaging + MRV. CT/CTV if MRI not readily available. CVT (confirmed by imaging) Initiate anticoagulation (IV heparin or SC LMWH) if no major contraindications. Neurological improvement. or stable. Neurological deterioration. or coma despite medical treatment. Continue oral anticoagulation. for 3-12 months or lifelong according. to the underlying etiology. a) Transient reversible factor. b) Low-risk thrombophilia. c) High risk/inherited thrombophilia. (See section on Long-Term Management and. Recurrence of CVT ) Severe mass effect or ICH. on repeated imaging. No or mild mass effect. on repeated imaging. May consider decompressive. hemicraniectomy. (lifesaving procedure) May consider endovascular. therapy (with or without. mechanical disruption) All patients should receive support for the prevention of complication and symptomatic therapy. (eg, management of seizures, intracranial hypertension, etc.)", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}