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Cerebral Venous Thrombosis
- Approximately 25% of patients with cerebral venous thrombosis (CVT) will experience neurologic deterioration.
- This is most commonly due to an increase in ICP that results in transtentorial herniation.
- While heparin remains the treatment of choice for CVT, consider the following alternative strategies in the acutely decompensating patient:
- Endovascular thrombolysis
- Mechanical thrombectomy
- Decompressive hemicraniectomy
References
Fam D, Saposnik G. Critical care management of cerebral venous thrombosis. Curr Opin Crit Care 2016; 22:113-9.