Back to Search
Start Over
Chinese Stroke Association guidelines for clinical management of cerebrovascular disorders: executive summary and 2019 update of clinical management of cerebral venous sinus thrombosis
- Source :
- Stroke and Vascular Neurology, Stroke and Vascular Neurology, Vol 5, Iss 2 (2020)
- Publication Year :
- 2020
- Publisher :
- BMJ Publishing Group, 2020.
-
Abstract
- AimCerebral venous sinus thrombosis (CVST) is a less common cerebrovascular disease that predominantly affects young patients. The incidence of CVST is 2–5/10 000 000/year, accounting for 0.5%–1% of all stroke. To reduce mortality and morbidity associated with CVST, Chinese Stroke Association commissioned the authors to write the current guideline on the management of CVST.MethodsPubMed (MEDLINE), CNKI and Wanfang database were searched for studies related to CVST from 1 January 1990 to 31 July 2019. Data were synthesised by evidence tables. Each recommendation was fully discussed by the writing group members and reviewed by Chinese Stroke Association Stroke Fellow Committees. Levels of evidence grading algorithm of Chinese Stroke Association was used to grade each recommendation.ResultsThis guideline mainly focuses on the diagnostic evaluation, therapeutic strategies and secondary prevention of CVST. CT/CTV and MRI/MRV are recommended in the initial imaging evaluation of patients with suspected CVST. Anticoagulation therapy with low-molecular weight heparin should be initiated in patients with CVST immediately. After the acute stage, warfarin is recommended for 3–6 months to prevent the recurrence of CVST and other venous thromboembolic events.ConclusionsThe guideline summarises the current evidence regarding the management of CVST, and provides references for diagnosis, treatment and secondary prevention of CVST in China.
- Subjects :
- Pediatrics
medicine.medical_specialty
China
Consensus
brain
Clinical Decision-Making
MEDLINE
030204 cardiovascular system & hematology
Guidelines
lcsh:RC346-429
Brain Ischemia
Decision Support Techniques
Time-to-Treatment
03 medical and health sciences
Sinus Thrombosis, Intracranial
0302 clinical medicine
vein
Predictive Value of Tests
Risk Factors
medicine
Humans
Cerebral venous sinus thrombosis
Vein
Stroke
lcsh:Neurology. Diseases of the nervous system
Evidence-Based Medicine
business.industry
Incidence (epidemiology)
Warfarin
Guideline
Evidence-based medicine
medicine.disease
medicine.anatomical_structure
Treatment Outcome
Neurology
Neurology (clinical)
Cardiology and Cardiovascular Medicine
business
030217 neurology & neurosurgery
medicine.drug
MRI
Subjects
Details
- Language :
- English
- ISSN :
- 20598696
- Volume :
- 5
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Stroke and Vascular Neurology
- Accession number :
- edsair.doi.dedup.....56524a07c1ad3776e9eca374bfd64b08