Venous Sinus Thrombosis

Diagnosis
2-15 cases per million
Women to men 2:1
Median age of 35
Risk factors similar to other VTE disorders

• Exogenous estrogen / OCPs
• Pregnancy
• Hypercoagulable states
• Factor V Leiden
• Lupus
• Infections (COVID)
  
• Malignancy

Symptoms
Most commonly in superior sagittal and transverse sinuses
Clot -> increased ICP -> vasogenic edema -> hemorrhage
Non-specific headache

• Possibly positional or exacerbated by Valsalva

Seizure
Papilledema
AMS


Diagnosis
Imaging

• Non-contrast CT Head
• MRI
• MR venogram
• CT venogram

Workup for hypercoagulable states


Treatment
Anticoagulation

Source: https://journals.lww.com/em-news/Fulltext/2021/04000/Quick_Consult__Symptom__Atraumatic_Headache.14.aspx