Intracranial venous thrombosis Flashcards
1
Q
How does saggital sinus IVT present?
A
- 45% of IVT
- headache, vomiting, seizures, reduced vision, papilloedema
2
Q
How does transverse sinus IVT present?
A
- headache +/- mastoid pain, focal neuro, seizures, papilloedema
3
Q
How does sigmoid sinus IVT present?
A
cerebellar signs, lower cr nerve palsies
4
Q
How does inferior petrosal sinus IVT present?
A
5th and 6th cranial nerve palsies
5
Q
How does Cavernous sinus IVT present?
A
headache, chemosis (swelling/oedema of conjunctiva), eyelid oedema, proptosis, painful opthalmoplegia
6
Q
how does cortical vein thrombosis present?
A
thunderclap headache
7
Q
common causes?
A
- pregnancy
- OCP
- head injury
- dehydration
- malignancy
- thrombophilia
8
Q
Ix?
A
- exclude SAH & meningitis
- CT/MRI venography
- LP: increased pressure, may show RBCs and xanthochromia
9
Q
Mx
A
- LMWH–> warfarin
