Intracranial Venous Thrombosis

Question 1

Which veins are commonly affected in intracranial venous thrombosis?

Answer 1

1. Superior sagittal sinus

2. Transverse sinus

Question 2

What is this a presentation of?
Gradual onset (days/weeks), headache, seizures, focal neurology, hypercoagulable state (pregnant, COCP, dehydrated, head injury, tumour).

Answer 2

Venous sinus thrombosis (exclude SAH and meningitis)

Question 3

How is venous sinus thrombosis investigated and managed?

Answer 3

1. Thrombophilia screen, CT/MR angiogram

2. Anticoagulation with heparin/LMWH