Recommendations

Quality of evidence

Strength of recommendations

MRV and CT venography as an alternative to DSA

Very low

Weak

CT venography as an alternative to MRV

Very low

Weak

D-dimer before neuroimaging

Low

Weak

Thrombophilia screening is not recommended

Very low

Weak

Screening for occult malignancy is not recommended

Very low

Weak

Treatment with heparin at a therapeutic dose, including those with ICH

Moderate

Strong

Use of LMWH instead of UFH

Low

Weak

No recommendation on thrombolysis

Very low

Uncertain

Oral vitamin K antagonist for 3 to 12 months

Very low

Weak

No recommendation for using NOACs

Very low

Weak

No recommendation on therapeutic LP

Very low

Uncertain

Acetazolamide and steroid not recommended

Low

Weak

Shunting alone is not recommended

Very low

Uncertain

Decompressive surgery in impeding herniation

Low

Strong

AEDs in supratentorial lesions and seizures

Very low

Uncertain

LMWH in pregnant and puerperal patients

Low

Weak

OCP use is not advised in women of fertile age and prior CVT

Very low

Weak

 LMWH during pregnancy/puerperium  with a previous history of CVT

Very low

Weak

From: Cerebral Venous Thrombosis

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