Anticoagulation Therapy for Cerebral Venous Thrombosis Quiz
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Questions and Answers

What is the recommended initial anticoagulation therapy for adults with symptomatic cerebral venous thrombosis (CVT)?

  • Oral anticoagulants
  • Warfarin
  • Intravenous aspirin
  • Subcutaneous low molecular weight heparin (LMWH) (correct)

    • What is the suggested initial anticoagulation therapy for children with CVT?

  • Fondaparinux
  • Subcutaneous low molecular weight heparin (LMWH) (correct)
  • Direct oral anticoagulants
  • Intravenous vitamin K antagonists

    • When is seizure prophylaxis recommended for patients with CVT?

  • When they have seizures at presentation without any cerebral lesion
  • When they have seizures at presentation and focal cerebral supratentorial lesions (correct)
  • For all patients with CVT
  • Only for patients with hemorrhagic venous infarction

    • What is the suggested duration of anticoagulation for most patients after the acute phase of CVT?

    <p>3 to 12 months</p> Signup and view all the answers

    What complications require intervention during the acute phase of CVT?

    <p>Elevated intracranial pressure, brain swelling, seizures, and infection</p> Signup and view all the answers

    For which patients is warfarin preferred as an anticoagulant?

    <p>Patients with antiphospholipid syndrome</p> Signup and view all the answers

    What is the recommended duration of anticoagulation for patients with an unprovoked CVT?

    <p>6 to 12 months</p> Signup and view all the answers

    What is the suggested management for pregnant patients with a history of CVT?

    <p>Temporary prophylactic anticoagulation with subcutaneous LMWH throughout pregnancy</p> Signup and view all the answers

    What percentage of patients with CVT have a good outcome?

    <p>Close to 80 percent</p> Signup and view all the answers

    What is the main cause of acute death with CVT?

    <p>Neurologic, most often from brain herniation</p> Signup and view all the answers

    What is the suggested duration of anticoagulation for patients with a provoked CVT associated with a transient risk factor?

    <p>3 to 6 months</p> Signup and view all the answers

    What is advised for adolescent and adult females with a history of CVT?

    <p>Not using combined oral contraceptives</p> Signup and view all the answers

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