Cerebral Sinovenous Thrombosis | Diagnosis & Treatment

How is cerebral sinovenous thrombosis diagnosed?

If a physician suspects that your child has cerebral sinovenous thrombosis (CSVT), they will conduct a physical exam and take a thorough medical history. They may also recommend certain diagnostic tests, such as:

How is cerebral sinovenous thrombosis treated?

If your child experiences symptoms of CSVT or stroke, you should seek immediate medical treatment. Once you have arrived at the emergency room, physicians will treat CSVT based on your child’s individual case, including their age and the underlying cause of the blood clot. Treatment options include:

  • intravenous fluids to address to dehydration
  • medications to help prevent blood clots
  • medications to help prevent seizures
  • minimally invasive endovascular techniques
  • rehabilitation after stroke

Previously, clinicians were reluctant to treat CSVT with anticoagulants, which themselves can pose some risks, but confidence has grown in using these medications to prevent injury from the blood clot in selected newborns and children. These children are closely monitored by the Thrombosis and Anticoagulation Program at Boston Children’s, which collaborates closely with the Stroke and Cerebrovascular Center.