Sagittal sinus thrombosis (venous blood clot)
About Sagittal sinus thrombosis (venous blood clot)
A rare cause of stroke. The dural sinuses drain blood from the brain. A thrombosis or clot in this sinus causes the disorder. Patients experience headache and a variety of neurologic symptoms including confusion, weakness, seizures, slurred speech, and incoordination. At times patients have a pre-existing clotting disorder.Symptoms
Headache, weakness, confusion, slurred speech, seizures, fainting, coma.Tests & Diagnostics
A history and physical exam will be performed. The diagnosis is confirmed by imaging the veins and identifying that the blood clot is in the venous sinus. A CT venogram or MR venogram is performed to make the diagnosis.Common tests: Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, MRI.
Prescription medications
Conventional treatment summary
Therapy depends on the extent of the disease. Medications include: heparin, enoxaparin (Lovenox), warfarin (Coumadin), and anti-seizure medications. Thrombolysis (dissolving of the blood clot) is considered for severe disease. Some patients require surgery to relieve high intracranial pressure.Medical specialties
Neurosurgery · Neurology · Pediatric Neurology · Pediatric Neurosurgery
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Sagittal sinus thrombosis (venous blood clot).