Abstract
My opinion piece in Stroke challenged the evidence basis for anticoagulant drug treatment for cerebral venous thrombosis (CVT).1 Thanks to Dr Selim2 for his rebuttal. Based on my systematic review of the limited available evidence divulged by CVT study authors in published articles and personal e-mails, my article detailed the case against anticoagulants: Dr Selim2 concedes that “the efficacy of anticoagulation in CVT has not been unequivocally proven.” However, he provides justification for anticoagulants based on the theory that they can prevent CVT propagation and thereby prevent ICHs. Although full-dose heparin has …
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