Cerebral venous thrombosis diagnosis

Bakac G, Wardlaw JM (1997). Problems in the diagnosis of intracranial venous infarction. Neuroradiology 39 566-570 Bousser MG (2000). Cerebral venous thrombosis diagnosis and management. Journal of Neurology 247 252-258 Bousser MG, Ross Russell R (1997). Cerebral venous thrombosis. London 8aunders... 

Headache, papilloedema and a normal CT scan should raise the possibility of cerebral venous thrombosis. Often cerebral venous thrombosis is not considered until other diagnoses have been excluded, particularly when the presentation is atypical. However, it is not a diagnosis of exclusion - it must be confirmed on imaging. 

Cerebral angiography with late venous views is the gold standard for the diagnosis of cerebral venous thrombosis. Nowadays, this should only be performed in those cases where the diagnosis remains in doubt after MRI. There should be total or partial occlusion of... 

Bentley, J.N., R.E. Figueroa, and J.R. Vender, From presentation to follow-up diagnosis and treatment of cerebral venous thrombosis. Neurosurg Focus, 2009. 27(5) p. E4. 

Suggested Alternatives for Differential Diagnosis Meningitis, basilar artery blood clots (thrombosis), cardioembolic stroke, cavernous sinus syndromes, cerebral venous blood clots (thrombosis), confusional states and acute memory disorders, epileptic and epileptiform encephalopathies, febrile seizures, haemophilus meningitis, intracranial hemorrhage, leptomeningeal carcinomatosis, subdural pus (empyema), or bruise (hematoma). 

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