Acute treatment of cerebral venous thrombosis

Correct and timely diagnosis of cerebral venous thrombosis (CVT) is imperative in determining the appropriate treatment plan. Clinical suspicion is crucial, followed by radiographic confirmation using CT, MRI, or conventional angiography.Emergency and critical care of the patient is important, including control of airway and circulation.Initially, the treatment of choice is anticoagulation with heparin.Consideration should be given to intrathrombus delivery of thrombolytic agents.Eventually, newer techniques such as laser, ultrasound, and suction may be considered.