{"id":10191,"date":"2023-11-07T19:29:12","date_gmt":"2023-11-07T19:29:12","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=10191"},"modified":"2025-12-30T19:11:41","modified_gmt":"2025-12-30T19:11:41","slug":"cerebral-venous-thrombosis-cvt","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/cerebral-venous-thrombosis-cvt\/","title":{"rendered":"Cerebral Venous Thrombosis (CVT) and Location of Probable Lesion"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Cerebral venous thrombosis (CVT) is an important cause of stroke in young adults (mean age 33 years with a two-thirds female preponderance) caused by complete or partial occlusion of the cerebral major cerebral venous sinuses (cerebral venous sinus thrombosis) or the smaller feeding cortical veins (cortical vein thrombosis).<!--more--><\/p>\n<p><strong>Signs and symptoms of cerebral venous thrombosis (CVT) and location of probable lesion<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%; height: 528px;\" border=\"1\">\n<tbody>\n<tr style=\"height: 24px;\">\n<td style=\"width: 38.4648%; height: 24px;\" colspan=\"2\">Signs and symptoms<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Probable lesion<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 18.5856%; height: 96px;\" rowspan=\"4\">Headache<\/td>\n<td style=\"width: 19.8792%; height: 24px;\">Migraine<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Any venous occlusion\/focal lesion<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">Raised ICP <sup>a<\/sup><\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Large venous or sinus occlusion\/large mass lesion<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">Thunderclap<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Any venous occlusion\/subarachnoid haemorrhage<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">Ear\/mastoid\u00a0pain<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Transverse sinus with\/without infection<\/td>\n<\/tr>\n<tr style=\"height: 72px;\">\n<td style=\"width: 18.5856%; height: 24px;\" rowspan=\"12\">Focal neurological deficits<\/td>\n<td style=\"width: 19.8792%; height: 24px;\">Hemiparesis<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Infarction\/haemorrhage\/venous oedema<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">Cranial nerve palsy<\/td>\n<td style=\"width: 61.5351%; height: 24px;\"><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">III, IV<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Cavernous sinus<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">V<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Cavernous sinus\/superior petrosal sinus<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">VI<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Cavernous sinus\/inferior petrosal sinuses\/raised ICP<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">VII<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Transverse\/sigmoid sinus<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">VIII<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Transverse\/sigmoid sinus\/raised ICP<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">IX, X, XI<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Posterior cavernous sinus\/internal jugular vein\/deep venous system<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">Aphasia<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Focal infarction\/haemorrhage\/superficial or deep venous system<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">Sensory disturbance<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Focal infarction\/haemorrhage\/superficial or deep venous system<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">Inattention\/neglect<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Focal infarction\/haemorrhage\/superficial venous system<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">Ataxia<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Cerebellar veins\/raised ICP<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 18.5856%; height: 24px;\" rowspan=\"2\">Seizures<\/td>\n<td style=\"width: 19.8792%; height: 24px;\">Focal<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Focal infarction\/haemorrhage<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">Generalised<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Focal infarction\/haemorrhage\/severely raised ICP<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 18.5856%; height: 24px;\" rowspan=\"4\">Visual disturbance<\/td>\n<td style=\"width: 19.8792%; height: 24px;\">Reduced acuity<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Raised ICP<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">Reduced\/altered visual field<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Raised ICP\/Posterior infarction\/haemorrhage\/raised ICP (false localising sign)<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">Diplopia<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Cavernous sinus\/petrosal sinus\/raised ICP<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">Papilloedema<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Raised ICP<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 18.5856%; height: 24px;\" rowspan=\"2\">Meningism<\/td>\n<td style=\"width: 19.8792%; height: 24px;\">Neck pain\/stiffness<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Suggests infectious or inflammatory aetiology<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">Photophobia<\/td>\n<td style=\"width: 61.5351%; height: 24px;\"><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 18.5856%; height: 24px;\" rowspan=\"3\">Reduced consciousness<\/td>\n<td style=\"width: 19.8792%; height: 24px;\">Drowsiness<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Deep venous system\/straight sinus\/raised ICP\/non-convulsive status epilepticus<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">Stupor<\/td>\n<td style=\"width: 61.5351%; height: 24px;\"><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">Coma<\/td>\n<td style=\"width: 61.5351%; height: 24px;\"><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 18.5856%; height: 24px;\" rowspan=\"4\">Cognitive impairment<\/td>\n<td style=\"width: 19.8792%; height: 24px;\">Encephalopathy<\/td>\n<td style=\"width: 61.5351%; height: 24px;\">Deep venous system\/temporal-parietal lesion (vein of Labbe)\/seizures<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">Disorientation<\/td>\n<td style=\"width: 61.5351%; height: 24px;\"><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">Reduced concentration<\/td>\n<td style=\"width: 61.5351%; height: 24px;\"><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 19.8792%; height: 24px;\">Amnesia<\/td>\n<td style=\"width: 61.5351%; height: 24px;\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><sup>a<\/sup> Raised intracranial pressure (ICP) can result from a combination of a large venous\/sinus occlusion or from large infarction\/haemorrhage.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Ulivi L, Squitieri M, Cohen H, Cowley P, Werring DJ. Cerebral venous thrombosis: a practical guide. Pract Neurol. 2020 Oct;20(5):356-367. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32958591\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Behrouzi R, Punter M. Diagnosis and management of cerebral venous thrombosis. Clin Med (Lond). 2018 Feb;18(1):75-79. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29436443\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created Nov 02, 2023.<\/p>\n<p>&nbsp;<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[2],"tags":[248,151,2622,2623,1502,1504,1506,899],"class_list":["post-10191","post","type-post","status-publish","format-standard","hentry","category-neurology","tag-cerebral","tag-lesion","tag-location","tag-probable","tag-thrombosis","tag-trombosis","tag-venosa","tag-venous"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/10191","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=10191"}],"version-history":[{"count":8,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/10191\/revisions"}],"predecessor-version":[{"id":10204,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/10191\/revisions\/10204"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=10191"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=10191"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=10191"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}