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Sagittal Sinus Thrombosis
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Sagittal Sinus Thrombosis


  I am a nursing case manager and have a patient with a diagnosis of sagittal sinus thrombosis. This patient and spouse is looking for information realated to this disorder and I have not been able to find any patient related (and not much nursing related!!) literature to help them. Thanks for any help you can provide!!
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Thanks for the questions.  Sagittal Sinus Thrombosis is one of the possible
presentations of a more general disorder called Cerebral Venous Thrombosis.
The clinical presentation can include headaches, papilledema, seizures,
focal neurological deficits, and in the worst cases, can progress to coma,
and death.  The blood from the brain is drained by the cerebral veins,
which empty into dural sinuses, which, in turn, empty into the internal
jugular veins.  The dural sinuses are spaces located in between two
layers of dura mater, the fibrous coverings of the brain.
The superior sagittal sinus is situated right along the midline between
the two cerebral hemispheres, and extends roughly between the high forehead
and the back of the head.
With the advent of magnetic resonance scanning, a large portion of sagittal
sinus thrombosis can be diagnosed with a non-invasive procedure called
Magnetic Resonance Venogram (MR-V).
I am not aware of any layman literature about Sagittal Sinus Thrombosis,
but there is a fairly readable book chapter on the subject of Cerebral
Venous Thrombosis (Chap. 19) on the book "Stroke: Pathophysiology, Diagnosis,
and Management" (2nd Edition), edited by HJ Barnett.
I hope this answers most of your questions.
This information is provided for medical education.  Please contact your
physician regarding medical evaluation and treatment.





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