Protocolo diagnóstico y tratamiento de la trombosis venosa cerebral

Abstract

In the diagnostic approach to cerebral venous thrombosis, both the topographic diagnosis (based on the patient's clinical manifestations, given that they can vary greatly depending on the affected venous sinus) and the neuroimaging diagnosis, in which cerebral magnetic resonance imaging and computed tomography venography or magnetic resonance imaging techniques are especially relevant, must be taken into account, without ignoring the importance of reaching an etiological diagnosis. The treatment strategies for cerebral venous thrombosis are based on anticoagulant treatment and treatment of the underlying causes, early detection, and treatment of possible complications such as epileptic seizures, intracranial hypertension, and hydrocephalus. Lastly, the high risk of recurrence of venous thrombosis that these patients present with must be considered. Therefore, it is necessary to perform an individualized evaluation and adaptation of the duration of anticoagulant treatment depending on the underlying cause.