Cerebral venous sinus thrombosis historical perspective

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: : Kalsang Dolma, M.B.B.S.[2]

Historical Perspective

The first description of thrombosis of the cerebral veins and sinuses is attributed to the French physician Ribes, who in 1825 observed thrombosis of the saggital sinus and cerebral veins in a man who had suffered from seizures and delirium.[1] Until the second half of the 20th century it remained a diagnosis generally made after death.[2] In the 1940s, reports by Dr Charles Symonds and others allowed for the clinical diagnosis of cerebral venous thrombosis, using characteristic signs and symptoms and results of lumbar puncture.[3][4]

Improvements on the diagnosis of cerebral venous sinus thrombosis in life were made with the introduction of venography in 1951,[5] which also aided in the distinction from idiopathic intracranial hypertension,[6] which has similar presenting signs and symptoms in many cases.[2]

The British gynecologist Stansfield is credited with the introduction, in 1942, of the just recently introduced anticoagulant heparin in the treatment of cerebral venous sinus thrombosis in 1942.[2][4] Clinical trials in the 1990s finally resolved the concern about using anticoagulants in most cases of cerebral venous sinus thrombosis.

References

  1. Ribes MF (1825). "Des recherches faites sur la phlebite". Rev Med Franc Etrang. 3: 5–41.
  2. 2.0 2.1 2.2 Bousser MG, Chiras J, Bories J, Castaigne P (1 March 1985). "Cerebral venous thrombosis--a review of 38 cases" (PDF). Stroke. 16 (2): 199–213. PMID 3975957.
  3. Symonds CP (1940). "Cerebral thrombophlebitis". Br Med J. 2 (4158): 348–52. doi:10.1136/bmj.2.4158.348. PMC 2179068. PMID 20783290. Unknown parameter |month= ignored (help)
  4. 4.0 4.1 Stansfield FR (1942). "Puerperal cerebral thrombophlebitis treated by heparin". Br Med J. 1 (4239): 436–438. doi:10.1136/bmj.1.4239.436. PMC 2164893. PMID 20784169. Unknown parameter |month= ignored (help)
  5. Ray BS, Dunbar HS, Dotter CT (1951). "Dural sinus venography as an aid to diagnosis in intracranial disease". J. Neurosurg. 8 (1): 23–37. doi:10.3171/jns.1951.8.1.0023. PMID 14804146. Unknown parameter |month= ignored (help)
  6. Ray BS, Dunbar HS (1951). "Thrombosis of the dural venous sinuses as a cause of pseudotumor cerebri". Ann. Surg. 134 (3): 376–86. doi:10.1097/00000658-195113430-00009. PMC 1802934. PMID 14869026. Unknown parameter |month= ignored (help)