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Tips for Diagnosing Cerebral Venous Thrombosis in the Emergency Dept.

By Anton Helman, MD, CCFP(EM), FCFP | on September 7, 2023 | 0 Comment
EM Cases
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A special thanks to Drs Roy Basking and Amit Shah for their expert contributions to the EM Cases podcast that inspired this column.

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Explore This Issue
ACEP Now: Vol 42 – No 09 – September 2023

Dr. HelmanDr. Helman is an emergency physician at North York General Hospital in Toronto. He is an assistant professor at the University of Toronto, Division of Emergency Medicine, and the education innovation lead at the Schwartz/Reisman Emergency Medicine Institute. He is the founder and host of Emergency Medicine Cases podcast and website.

References

  1. Cerbo R, Villani V, Bruti G, et al. Primary headache in emergency department: prevalence, clinical features and therapeutical approach. J Headache Pain. 2005;6(4):287-9.
  2. Bonatti M, Valletta R, Lombardo F, et al. Accuracy of unenhanced CT in the diagnosis of cerebral venous sinus thrombosis. Radiol Med. 2021;126(3):399-404.
  3. Ulivi L, Squitieri M, Cohen H, et al. Cerebral venous thrombosis: a practical guide. Pract Neurol. 2020;20(5):356-367.
  4. Ferro JM, Aguiar de Sousa D. Cerebral venous thrombosis: an update. Curr Neurol Neurosci Rep. 2019;19(10):74.
  5. Idiculla PS, Gurala D, Palanisamy M, et al. Cerebral venous thrombosis: a comprehensive review. Eur Neurol. 2020;83(4):369-379.
  6. Dmytriw AA, Song JSA, Yu E, et al. Cerebral venous thrombosis: state of the art diagnosis and management. Neuroradiology. 2018;60(7):669-685
  7. Luo Y, Tian X, Wang X. Diagnosis and treatment of cerebral venous thrombosis: a review. Front Aging Neurosci. 2018;10:2.
  8. Ohle R, Mcisaac SM, Woo MY, et al. Sonography of the optic nerve sheath diameter for detection of raised intracranial pressure compared to computed tomography: a systematic review and meta-analysis. J Ultrasound Med. 2015;34(7):1285-94.
  9. Alons IM, Jellema K, Wermer MJ, et al. D-dimer for the exclusion of cerebral venous thrombosis: a meta-analysis of low risk patients with isolated headache. BMC Neurol. 2015;15:118.
  10. Dentali F, Squizzato A, Marchesi C, et al. D-dimer testing in the diagnosis of cerebral vein thrombosis: a systematic review and a meta-analysis of the literature. J Thromb Haemost. 2012;10(4):582-9.
  11. Ge S, Wen J, Kei PL. Cerebral venous thrombosis: a spectrum of imaging findings. Singapore Med J. 2021;62(12):630-635.
  12. Capecchi M, Abbattista M, Martinelli I. Cerebral venous sinus thrombosis. J Thromb Haemost. 2018;16(10):1918-1931.
  13. Ferro JM, Bousser MG, Canhão P, et al. European Stroke Organization guideline for the diagnosis and treatment of cerebral venous thrombosis – endorsed by the European Academy of Neurology. Eur J Neurol. 2017;24(10):1203-1213.

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Topics: cerebral venous thrombosisHeadache

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