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Cerebral venous sinus thrombosis — RCPSC IM MCQ

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HardNeurologyCerebral venous sinus thrombosisRCPSC IM

A woman develops headache, focal seizures and left weakness 10 days postpartum. CT venography confirms superior sagittal sinus thrombosis with a small hemorrhagic venous infarct. What acute treatment is indicated?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Treat with therapeutic LMWH despite the venous hemorrhagic infarct

Explanation lettering: D = shown as A · E = shown as B · A = shown as C · C = shown as D · B = shown as E

C is correct: symptomatic CVT is anticoagulated; hemorrhagic venous infarction alone does not preclude treatment. D risks propagation. E is inadequate. A is not routine therapy. B is subtherapeutic.

Reference: Canadian Stroke Best Practices, cerebral venous thrombosis—acute treatment: https://www.strokebestpractices.ca/recommendations/cerebral-venous-thrombosis/2-acute-treatment-of-symptomatic-cerebral-venous-thrombosis