Endovascular Treatment Leads to Resolution of Cerebral Venous Sinus Thrombosis in an 18-Year-Old Female: A Case Study
By
Michaël de Sousa Amaral
Ferdinand Brinckmann
Vera Aebischer
David Dashti
Marios-Nikos Psychogios
David Theo Winkler
Nicolas Geigy
January 19, 2026
Clinical Scorecard: Endovascular Treatment Leads to Resolution of Cerebral Venous Sinus Thrombosis in an 18-Year-Old Female: A Case Study
At a Glance
Category Detail
Condition Cerebral Venous Sinus Thrombosis (CVST) Key Mechanisms Occlusion of cerebral venous sinuses leading to increased intracranial pressure and potential neurological deficits. Target Population Young adults, particularly females with risk factors such as hormonal contraceptive use. Care Setting Emergency department and intensive medical care.
Key Highlights
CVST is a rare but serious condition, accounting for less than 1% of strokes. Endovascular thrombectomy can be effective in refractory cases. Early imaging and prompt intervention are crucial for positive outcomes. Seizures can occur as a complication of CVST. Long-term anticoagulation therapy is necessary post-treatment. Guideline-Based Recommendations
Diagnosis
Utilize MRI and CT with venous contrast for accurate diagnosis. Management
First-line treatment includes anticoagulation therapy; consider endovascular treatment for refractory cases. Monitoring & Follow-up
Regular follow-up imaging and clinical assessment for symptom resolution and complications. Risks
Potential complications include seizures, secondary injuries, and long-term neurological deficits. Patient & Prescribing Data
Young females, particularly those using hormonal contraceptives.
Long-term anticoagulation with phenprocoumon and avoidance of estrogen-based contraception is advised.
Clinical Best Practices
Implement a multidisciplinary approach for management. Conduct thorough hematologic evaluations to exclude thrombophilic disorders. Monitor for neurological symptoms and adjust treatment as necessary. References
