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Recognizing cerebral venous thrombosis in adults

Cerebral venous thrombosis is an underrecognized but serious thrombotic disorder that affects cerebral veins and sinuses. Clinical presentation varies based on extent and location of thrombosis within the cerebral venous system, and can include headache, focal neurologic deficits, focal or generalized seizures, stroke, and coma. Diagnosis is confirmed by brain and cerebral vascular imaging. Treatment focuses on anticoagulation, and outcomes are generally favorable.1,2