An Integrated Approach on Diagnosis and Treatment of Cerebral Veins and Intracranial Dural Sinuses Thrombosis (CVT)

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Medical Research".

Deadline for manuscript submissions: 20 June 2026 | Viewed by 835

Special Issue Editors


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Guest Editor
1. First Division of Neurology, Department of Neurosciences, “Victor Babes” University of Medicine and Pharmacy, Timisoara, E. Murgu Sq., No. 2, 300041 Timisoara, Romania
2. Centre for Cognitive Research in Neuropsychiatric Pathology (NeuroPsy-Cog), First Division of Neurology, Department of Neurosciences, “Victor Babes” University of Medicine and Pharmacy, 156 L. Rebreanu Ave., 300723 Timisoara, Romania
3. First Department of Neurology, “Pius Branzeu” Clinical Emergency County Hospital, 156 L. Rebreanu Ave., 300723 Timisoara, Romania
Interests: cerebral veins and dural sinuses thrombosis; ischemic stroke and extra and transcranial Doppler sonography (large arteries diseases and small arteries diseases); vascular aphasias; vascular cognitive impairment; neuro-ophthalmology and color Doppler imaging of orbital vessels; Parkinson’s disease
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Guest Editor
1. RoNeuro Institute for Neurological Research and Diagnostic, 400364 Cluj-Napoca, Romania
2. Department of Neuroscience, Iuliu Hatieganu University of Medicine and Pharmacy, 400083 Cluj-Napoca, Romania
Interests: traumatic brain injury; cognitive neuroscience; neurodegeneration; neurodegenerative disease; neuropharmacology; neural plasticity; neuroprotection; neuroplasticity; neurorehabilitation
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Cerebral veins and intracranial dural sinuses thrombosis (CVT) is a rare disease in the general population. At least one risk factor can be identified in about 85% of CVT patients. Screening for a thrombophilic state should be performed for cases who present a high pretest probability of severe thrombophilia. Two pathophysiological mechanisms determine their highly variable clinical spectrum: increase in venular and capillary pressure, and decrease in cerebrospinal fluid absorption.

The clinical spectrum of CVT is usually non-specific. Four major syndromes have been noted: intracranial hypertension, seizures, focal neurological signs, and encephalopathy. Cavernous sinus thrombosis is the only CVT that produces a characteristic clinical syndrome.

Non-enhanced computer tomography (NECT) of the head is the most frequently performed imaging technique in the emergency department. CVT diagnosis is confirmed with CT venography (CTV), directly detecting the venous clot as a filling defect, or magnetic resonance imaging (MRI)/MR venography (MR-V), which also realize a better description of parenchymal abnormalities.

Acute phase therapy for CVT focuses on anticoagulation, the management of seizures, increased intracranial pressure, and the prevention of cerebral herniation. The majority of patients have a complete or partial recovery; however, they have an increased incidence of venous thromboembolism. Clinical and imaging follow-ups 3 to 6 months after diagnosis are recommended to assess for recanalization.

This Special Issue of Life (IF = 3.2), Journal Rank: JCR - Q1 (Biology) includes the following topics: epidemiology, risk factors, pathophysiology, clinical presentation, laboratory testing, and the imaging of CVT. The treatment of CVT represents another important aspect: acute-phase therapy, management after the acute phase, and prognosis. We are pleased to invite you to submit a manuscript covering clinical research, as well as systematic reviews and meta-analyses.

Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the Special Issue’s website.

Prof. Dr. Dragos Catalin Jianu
Prof. Dr. Dafin Fior Muresanu
Guest Editors

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Keywords

  • cerebral veins and intracranial dural sinuses thrombosis (CVT)
  • thrombophilia
  • intracranial hypertension
  • non-enhanced computer tomography (NECT) of the head
  • computer tomography venography (CTV)
  • magnetic resonance imaging (MRI) of the head
  • magnetic resonance venography (MRV)
  • anticoagulation

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Published Papers (1 paper)

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26 pages, 1956 KB  
Article
Cerebral Veins and Dural Sinuses Thrombosis: Data from a Monocentric Cohort Study of 55 Romanian Patients
by Dragos Catalin Jianu, Silviana Nina Jianu, Razvan Bertici, Nicoleta Iacob, Sergiu Florin Arnautu, Georgiana Munteanu, Traian Flavius Dan, Raphael Sadik, Tudor Nicolae Jianu, Any Axelerad, Cristina Tudoran, Andrei Gheorghe Marius Motoc, Stefan Strilciuc, Dafin Fior Muresanu and Ligia Petrica
Life 2026, 16(6), 875; https://doi.org/10.3390/life16060875 - 23 May 2026
Cited by 1 | Viewed by 385
Abstract
Cerebral venous sinus thrombosis (CVST) is a rare form of stroke with heterogeneous clinical presentation and etiological profile. This study aimed to evaluate the demographic, clinical, imaging, etiological, treatment, and outcome characteristics of CVST in a Romanian population. We conducted a retrospective monocentric [...] Read more.
Cerebral venous sinus thrombosis (CVST) is a rare form of stroke with heterogeneous clinical presentation and etiological profile. This study aimed to evaluate the demographic, clinical, imaging, etiological, treatment, and outcome characteristics of CVST in a Romanian population. We conducted a retrospective monocentric cohort study including 55 patients diagnosed over a six-year period in a tertiary neurological center. CVST accounted for 1.2% of all stroke cases, with an incidence of 13.75 per million per year. Gender distribution was relatively balanced, differing from international cohorts, and traditional female-specific risk factors were less prominent. Thrombophilia (68.6%) and infections (38.2%) were the most frequent etiologies. Younger patients were more frequently associated with thrombophilia, while a higher inflammatory response was observed in older individuals; additionally, female patients showed a higher prevalence of the MTHFR C677T mutation. Transverse and sigmoid sinuses were the most affected, while cavernous sinus involvement was more frequent than typically reported and associated with infections. At discharge, long-term anticoagulation was recommended in 67.3% of patients, tailored to underlying etiology and risk profile. Outcomes were favorable, with 70–80% achieving a modified Rankin Scale score ≤2 at discharge and over 90% at 90-day follow-up, despite inconsistent correlation with imaging findings. These results highlight the heterogeneous nature of CVST and the need for comprehensive, individualized evaluation and management. Full article
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