| The diagnosis of CVST has to be proven by MRI/MRA, or by X-ray
angiography, or by post mortem examination. Patients with cavernous sinus thrombosis will
be included. The local investigators will assure that, if necessary, all imaging studies
are available for review . The following diagnostic criteria will be used as guidelines |
 |
For sinus thrombosis:
- Angiography: incomplete or absent filling or delayed
emptying of one or more sinuses with signs of increased filling of collateral
venous pathways. (pitfalls: hypoplasia of anterior part of the superior
sagittal sinus (SSS) or of one of the transverse sinuses: duplication of the
SSS).
- MRI: abnormal signal in one of the sinuses, combined with
absence of flow on MRA (pitfalls: flow related artifacts on
MRI; different signal abnormalities depending on age of the thrombus).
Patients with isolated cerebral vein thrombosis are to be
included, if the diagnosis can be made reliably according to the following
criteria:
- Angiography: absent filling preferably combined with
signs of dilated collateral veins; "stop" sign; filling of previously
non-filling vein on repeated angiogram (pitfalls: anatomical variation of
cortical veins).
- MRI/MRA: as indural sinus thrombosis.
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