Cerebral venous sinus thrombosis (CVT) consists of partial or complete occlusion of a sinus or a cerebral vein. CVT represents 0.5-1% of all strokes and is more frequent in young women. This review discusses particular aspects of CVT diagnosis and management: decompressive craniectomy (DC), anticoagulation with direct oral anticoagulants (DOACs), CVT after coronavirus-disease 19 (COVID-19) and Vaccine-Induced Immune Thrombotic Thrombocytopenia (VITT).
Background: Stroke is the second leading cause of death in Brazil. All stroke patients should receive care at a SU in accordance with the guidelines of the American Heart Association (AHA)/American Stroke Association (ASA) - Class of recommendation I. Our institution is provided with a SU since 2019. Objective: To describe the rate of medical complications at our SU. Design and setting: This is a longitudinal descriptive study settled at the ICHCFMUSP. Methods: The incidence of complications during hospitalization at the UAVC was prospectively recorded. The rates of pneumonia, pressure ulcer, urinary tract infection (UTI), and venous thromboembolism (VTE) were analyzed. The period analyzed was from january/2019 to december/2020. Results: 379 patients were admitted at our SU. 50 patients (13.1%) presented at least one complication. 35 patients had only 1 complication, 13 patients had 2 complications, 1 patient had 3 complications and 1 patient had 4 complications. The most frequent complication was UTIs (7.9%), followed by pneumonia (5%), pressure ulcer (2.3%) and VTE (2.3%). 4 patients died during hospitalization at the SU. Conclusion: The rate of complications in our SU is low according to the literature.
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