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When do you re-image patients with a diagnosis of venous sinus thrombosis?

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Mednet Member
Mednet Member
Neurology · Brown University Medical School

My practice is to perform early reimaging, typically at around 2 weeks, before transitioning from parenteral anticoagulation to oral anticoagulation. This early reassessment is important as recanalization processes begin early and are linked to clinical outcomes. Subsequent imaging at 6 months is al...

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Mednet Member
Mednet Member
Neurology · Vanderbilt University Medical Center

If the patient is doing well on anticoagulation, I wait at least three to six months before considering reimaging. If the thrombosis has resolved and there's no evidence of an underlying hypercoagulable state, anticoagulation can be discontinued. However, if the CVST persists but the patient remains...

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