Cerebral venous sinus thrombosis headache — SCE Neurology MCQ
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Correct answer: D — Begin therapeutic anticoagulation for cerebral venous thrombosis
The best answer is “Begin therapeutic anticoagulation for cerebral venous thrombosis”. Cerebral venous thrombosis is treated with therapeutic anticoagulation even when venous haemorrhagic infarction is present, unless a specific contraindication exists; seizure and intracranial-pressure complications are managed concurrently. The alternatives “Use antiplatelet monotherapy for the venous thrombosis”, “Give systemic thrombolysis before standard anticoagulation”, “Use acetazolamide as the disease-specific antithrombotic treatment”, “Proceed directly to venous stenting without anticoagulation” are clinically adjacent possibilities, but they do not match the defining chronology, localisation, physiology, investigation result or UK management sequence in this stem.
Reference: National Clinical Guideline for Stroke: acute care: https://www.strokeguideline.org/chapter/acute-care/