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Diagnose og behandling af cerebral venøs sinustrombose

Peter Birkeland1, Margit Vejen Stilling2, Lisbeth Høgedal3, Mette Katrine Schulz1, Jørgen Nepper-Rasmussen3 & Frantz Rom Poulsen1 1) Neurokirurgisk Afdeling, Odense Universitetshospital 2) Neuroanæstesiologisk Afsnit, Anæstesiologisk Afdeling V, Odense Universitetshospital 3) Neuroradiologisk Sektion, Røntgenafdelingen, Odense Universitetshospital Ugeskr Læger 2014;176:V02140084
Ugeskr Læger 2014;176:V02140084
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Diagnosis and treatment of cerebral venous sinus thrombosis
Thrombosis of the cerebral sinuses most often affects younger adults. Headache is a common complaint and can be accom­panied by vomiting and papilloedema. The diagnosis rests on magnetic resonance imaging and the treatment consists of heparin or low-molecular weight heparin followed by vitamin K antagonists for three months or more. In fulminant cases local thrombolysis is administered, while symptomatic treatment for increased intracranial pressure is given. In retrospective analyses this approach has been associated with a good outcome – even in cases treated by decompressive craniectomy.
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