ABSTRACT
Cerebral venous and dural sinus thrombosis (CVST) is an uncommon cause of stroke; it can occur at any age, presenting with varied and frequently nonspecific symptoms and signs (1,2). Due to these issues, as well as the diverse spectrum of CVST findings on neuroimaging exams, an accurate clinical diagnosis can be difficult and is often delayed (3). The prognosis for CVST is generally favorable after conventional medical treatment with systemic anticoagulation; however, a significant minority of patients experience poor outcomes (death or dependency) (1,2,4). Individuals at high risk for unfavorable outcomes can potentially benefit from more aggressive management, such as endovascular recanalization of the dural sinuses or decompressive hemicraniectomy. This chapter will review the diagnosis and management of CVST, with an emphasis on diagnostic neuroimaging exams and therapeutic neurointerventional procedures.
