Evidence map›Paper›PMID 31008314›Full record

ArticleEuropean stroke journal2017

European Stroke Organization guideline for the diagnosis and treatment of cerebral venous thrombosis - Endorsed by the European Academy of Neurology.

José M Ferro, Marie-Germaine Bousser, Patrícia Canhão, Jonathan M Coutinho, Isabelle Crassard, Francesco Dentali, Matteo di Minno, Alberto Maino, Ida Martinelli, Florian Masuhr and 3 more

Abstract read
In one paragraph

Article in European stroke journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

119 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Safety and efficacy of endovascular thrombolysis in patients with acute cerebral venous sinus thrombosis: A systematic review.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
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59 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

José M FerroDepartment of Neurosciences, Serviço de Neurologia, Hospital de Santa Maria, Lisboa, Portugal.
Marie-Germaine BousserService de Neurologie, Hôpital Lariboisière, Paris, France.
Patrícia CanhãoDepartment of Neurosciences, Serviço de Neurologia, Hospital de Santa Maria, Lisboa, Portugal.
Jonathan M CoutinhoDepartment of Neurology, Academic Medical Center, Amsterdam, the Netherlands.
Isabelle CrassardService de Neurologie, Hôpital Lariboisière, Paris, France.
Francesco DentaliDepartment of Clinical Medicine, Insubria University, Varese, Italy.
Matteo di MinnoDepartment of Clinical Medicine and Surgery, Regional Reference Centre for Coagulation Disorders, "Federico II" University, Naples, Italy.
Alberto MainoA. Bianchi Bonomi Hemophilia and Thrombosis Centre, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy.
Ida MartinelliA. Bianchi Bonomi Hemophilia and Thrombosis Centre, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy.
Florian MasuhrDepartment of Neurology, Bundeswehrkrankenhaus, Berlin, Germany.
Diana Aguiar de SousaDepartment of Neurosciences, Serviço de Neurologia, Hospital de Santa Maria, Lisboa, Portugal.
Jan StamDepartment of Neurology, Academic Medical Center, Amsterdam, the Netherlands.
European Stroke Organization

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The current proposal for cerebral venous thrombosis guideline followed the Grading of Recommendations, Assessment, Development, and Evaluation system, formulating relevant diagnostic and treatment questions, performing systematic reviews of all available evidence and writing recommendations and deciding on their strength on an explicit and transparent manner, based on the quality of available scientific evidence. The guideline addresses both diagnostic and therapeutic topics. We suggest using magnetic resonance or computed tomography angiography for confirming the diagnosis of cerebral venous thrombosis and not screening patients with cerebral venous thrombosis routinely for thrombophilia or cancer. We recommend parenteral anticoagulation in acute cerebral venous thrombosis and decompressive surgery to prevent death due to brain herniation. We suggest to use preferentially low-molecular weight heparin in the acute phase and not using direct oral anticoagulants. We suggest not using steroids and acetazolamide to reduce death or dependency. We suggest using antiepileptics in patients with an early seizure and supratentorial lesions to prevent further early seizures. We could not make recommendations due to very poor quality of evidence concerning duration of anticoagulation after the acute phase, thrombolysis and/or thrombectomy, therapeutic lumbar puncture, and prevention of remote seizures with antiepileptic drugs. We suggest that in women who suffered a previous cerebral venous thrombosis, contraceptives containing oestrogens should be avoided. We suggest that subsequent pregnancies are safe, but use of prophylactic low-molecular weight heparin should be considered throughout pregnancy and puerperium. Multicentre observational and experimental studies are needed to increase the level of evidence supporting recommendations on the diagnosis and management of cerebral venous thrombosis.

Indexed as

acetazolamideand Evaluationangiographyanticoagulationantiepileptic drugsAssessmentcancer screeningCerebral venous thrombosiscontraceptionD dimersdecompressive surgeryDevelopmentdural sinus thrombosisGrading of Recommendationshemicraniectomyheparinlumbar puncturepregnancyprothrombotic screeningpuerperiumshuntsteroidsthrombectomythrombolysisvenography

Identifiers

PMID31008314
PMCPMC6454824

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.