BrainWaves #89 Cerebral venous sinus thrombosis

MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities, and episodes originally aired from 2016 to 2021.

Originally released: December 14, 2017

Cerebral vein and dural sinus thrombosis comprises only 0.5% of all strokes but is one of the most litigated medical diagnoses due to the high rate of underdiagnosis and high probability of neurologic decline without early and aggressive intervention. In this week's installment, Ali Hamedani puts Jim Siegler in the hot seat to go over the clinical and radiographic manifestations of this condition, treatment, and prognosis.

Produced by Ali Hamedani and James E Siegler. Music by Andy Cohen, MMFFF, Loyalty Freak Music, Steve Combs, Josh Woodward. BrainWaves' podcasts and online content are intended for medical education only and should not be used for routine clinical decision-making.

REFERENCES

Ferro JM, Canhão P, Bousser MG, Stam J, Barinagarrementeria F; ISCVT Investigators. Early seizures in cerebral vein and dural sinus thrombosis: risk factors and role of antiepileptics. Stroke 2008;39(4):1152-8. PMID 18309177

Khandelwal N, Agarwal A, Kochhar R, et al. Comparison of CT venography with MR venography in cerebral sinovenous thrombosis. AJR Am J Roentgenol 2006;187(6):1637-43. PMID 17114562

Saposnik G, Barinagarrementeria F, Brown RD Jr, et al. Diagnosis and management of cerebral venous thrombosis: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2011;42(4):1158-92. PMID 21293023

Stam J. Thrombosis of the cerebral veins and sinuses. N Engl J Med 2005;352(17):1791-8. PMID 15858188

We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode’s original release date.