Cerebral venous sinus thrombosis (CVT) is becoming recognized as a more common and treatable disorder in young patients. Unfortunately, headaches are overwhelmingly common complaints in the emergency department (ED), so CVT can be easy to miss since it has confusing clinical and imaging findings. This week we discuss this clinical entity, when to suspect it and what to order.
Acute headache is a common emergency department complaint, and in the right clinical setting, subarachnoid hemorrhage can often be high on the differential. We review an article that delves into the data on whether patients with a negative head CT still need an LP. The jury may still be out.