Visual Diagnosis in Emergency Medicine| Volume 63, ISSUE 5, P678-680, November 2022

Intraventricular Hemorrhage-Don't Miss the Deep Cerebral Venous Thrombosis

      Deep cerebral venous thrombosis (DCVT) remains a very rare entity among the spectrum of cerebral venous thrombosis (CVT). Due to the bilateral draining territories, DCVT typically results in bilateral thalamic infarction, with occasional extension into the basal ganglia, with predictably dismal prognosis. Its most common clinical manifestations are headache, seizures, changes in consciousness, and signs of nervous system lesions during physical examination. This nonspecific clinical manifestation makes the diagnosis of DCVT difficult.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Stam J.
        Thrombosis of the cerebral veins and sinuses.
        N Engl J Med. 2005; 352: 1791-1798
        • Ferro JM
        • Canhão P
        • Stam J
        • Bousser MG
        • Barinagarrementeria F
        • Investigators ISCVT
        Prognosis of cerebral vein and dural sinus thrombosis: results of the International Study on Cerebral Vein and Dural Sinus Thrombosis (ISCVT).
        Stroke. 2004; 35: 664-670
        • Caplan LR
        • Wang Q.
        Thalamic lesions caused by deep cerebral venous thrombosis: a retrospective study.
        Eur Neurol. 2015; 74: 118-126
        • Coutinho J
        • de Bruijn SF
        • Deveber G
        • Stam J.
        Anticoagulation for cerebral venous sinus thrombosis.
        Cochrane Database Syst Rev. 2011; CD002005
        • Einhäupl KM
        • Villringer A
        • Meister W
        • et al.
        Heparin treatment in sinus venous thrombosis.
        Lancet. 1991; 338: 597-600
        • de Bruijn SF
        • Stam J.
        Randomized, placebo-controlled trial of anticoagulant treatment with low-molecular-weight heparin for cerebral sinus thrombosis.
        Stroke. 1999; 30: 484-488