Diagnosis and Management of Cerebral Venous and Sinus Thrombosis

Cerebral venous and sinus thrombosis is a disease with a variable prognosis. Many patients make a full recovery, but a subset have progressive symptoms resulting in disabling deficits or death. Imaging, generally with magnetic resonance imaging, is the mainstay for establishing the diagnosis. Most patients respond well to systemic anticoagulation. However, those patients with progressive disease may require endovascular therapy. This article will discuss the epidemiology, clinical presentation, diagnosis, and therapeutic management of this disease.