This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (4)  • Contact me when this article is cited  Related Content  • Related articles  • Similar articles in this journal  Topic Collections  • Thrombolysis  • Neurology  • Cerebrovascular Disease  • Cardiovascular System  • Evidence-Based Medicine  • Prognosis/ Outcomes  • Drug Therapy  • Drug Therapy, Other  • Alert me on articles by topic  Social Bookmarking   What's this?

J. Stam, MD, PhD

Arch Neurol. 2008;65(7):984-985.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The treatment of cerebral venous sinus thrombosis (CVST) with heparin has been controversial for decades, but most experts now agree that most patients with CVST should receive rapid and full anticoagulation as soon as the diagnosis is made. Physicians who do not see many cases of CVST would be surprised to find out there is a dilemma at all. Treatment with anticoagulants for venous thrombosis in the legs and for pulmonary embolism is standard practice based on sound evidence. Adequately dosed heparin or, even better, full-dose low molecular weight preparations followed by some months of oral anticoagulants will prevent the extension of the thrombus and allow for natural recanalization. So why should CVST be an exception? The reason, of course, is the fear of cerebral hemorrhages. This concern is based on the fact that 30% to 40% of all patients with CVST have some degree of . . . [Full Text of this Article]

AUTHOR INFORMATION

Author Affiliation: Department of Neurology, University of Amsterdam, Amsterdam, the Netherlands.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLES

Anticoagulation in Cerebral Venous Sinus Thrombosis: Are We Treating Ourselves?
Mohammad Wasay and Ayeesha Kamran Kamal
Arch Neurol. 2008;65(7):985-987.
EXTRACT | FULL TEXT  

Cerebral Venous Sinus Thrombosis: To Treat or Not to Treat?
E. S. Roach
Arch Neurol. 2008;65(7):987-988.
EXTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Cerebral venous sinus thrombosis: a case series including thrombolysis
Mallick et al.
Arch. Dis. Child. 2009;94:790-794.
ABSTRACT | FULL TEXT  

Cerebral Venous Sinus Thrombosis: To Treat or Not to Treat?
Roach
Arch Neurol 2008;65:987-988.
FULL TEXT