Talk:Cerebral venous sinus thrombosis

From Wikipedia, the free encyclopedia

Good article Cerebral venous sinus thrombosis has been listed as one of the Natural sciences good articles under the good article criteria. If you can improve it further, please do. If it no longer meets these criteria, you can delist it, or ask for a reassessment.
April 17, 2008 Good article nominee Listed
WikiProject Medicine This article is within the scope of WikiProject Medicine. Please visit the project page for details or ask questions at the doctor's mess.
Good article GA This page has been rated as GA-Class on the quality assessment scale
Mid This article has been rated as Mid-importance on the importance assessment scale
WikiProject Neurology This article is within the scope of WikiProject Neurology. Please visit the project page for details or ask questions at the talk page.
Good article GA This page has been rated as GA-Class on the quality assessment scale
Mid This article has been rated as Mid-importance on the importance assessment scale

Contents

[edit] Expansion

I have expanded the article with some sources at my disposition, including the quick review in the BMJ 2007. However, I am trying to get my hands on two further sources that I think seriously deserve consideration:

Thanks to Arcadian, Davidruben and indirectly Dave Iberri for starting this. JFW | T@lk 21:46, 24 October 2007 (UTC)

And: Dentali F, Gianni M, Crowther MA, Ageno W (2006). "Natural history of cerebral vein thrombosis: a systematic review". Blood 108 (4): 1129–34. doi:10.1182/blood-2005-12-4795. PMID 16609071.  JFW | T@lk 14:35, 26 October 2007 (UTC)
And: Kimber J (2002). "Cerebral venous sinus thrombosis". QJM : monthly journal of the Association of Physicians 95 (3): 137–42. PMID 11865168.  (FREE) JFW | T@lk 20:38, 28 October 2007 (UTC)

[edit] Argh

Just lost about 30 minutes work due to a caching problem typical of internet explorer. Have no time to continue further, but will do so tomorrow evening. JFW | T@lk 15:28, 26 October 2007 (UTC)

[edit] GA nom

Nominated for GA. Let's see. JFW | T@lk 18:31, 13 April 2008 (UTC)

[edit] Case reports

I have temporarily removed the following:

Other less well understood situations that increase the risk for cerebral sinus thrombosis are hyperthyroidism[1] and myelodysplastic syndrome.[2]

Both these states (hyperthyroidism and MDS) are only mentioned on the basis of case reports in a relatively low-impact factor publication. While I have not seen the fulltext, I don't think either of them demonstrate causality beyond "wow, our patient has two rare conditions, they must be related". JFW | T@lk 19:49, 13 April 2008 (UTC)

[edit] Images

I have asked our radiology spy Glitzy queen00 (talk · contribs) for some neuroimaging. JFW | T@lk 21:21, 13 April 2008 (UTC)

[edit] Kids

More about CVST in kids: PMID 11496852 (NEJM) and PMID 15699061 (Brain).

Obstetric prognosis of CVST: does it come back? PMID 12754362. JFW | T@lk 22:20, 13 April 2008 (UTC)

[edit] Good article?

It is indeed. Application has been successful, congratulations to all contributors. CycloneNimrod (talk) 11:53, 17 April 2008 (UTC)

[edit] Success

It took a little while to find one so this is the best I can get for now! I hope it meets all standards? As always, I'm happy to help! Heather 11:03, 25 April 2008 (UTC)Glitzy_queen00

Cheers! See your talkpage. JFW | T@lk 06:02, 29 April 2008 (UTC)

[edit] History

It is interesting that the history of CVST is hard to disentangle from idiopathic intracranial hypertension. A single case from 1887 and some from the 1930s seem to have led to the recognition that CVST is an independent entity. Does everyone with possible IIH still undergo a venogram? Full text at PMC: 2011899 has some historical content. JFW | T@lk 17:22, 27 May 2008 (UTC)

According to eMedicine, CT is now the central diagnostic technique in most disorders of cerebral venous drainage. However, it also says that "venography is worthwhile". Also: "Although CT is certainly adequate in most instances, MRI and magnetic resonance venography are effective in ruling out both a mass lesion and a potential dural sinus thrombosis." Regards, CycloneNimrod talk?contribs? 08:40, 1 June 2008 (UTC)

Thanks. I was more interested in the historical question of when IIH and CVST became distinct clinical entities. We now know that IIH is not usually caused by infections, so was otitic hydrocephalus perhaps a missed case of otitis causing a sinus thrombosis? I will have a look at Emedicine to see if they provide historical context. JFW | T@lk 12:28, 1 June 2008 (UTC)

[edit] Reordering per MEDMOS

I'm not sure but I'm pretty sure risk factors come under epidemiology but currently they are listed under signs and symptoms. I'll wait for a reply before I change it (or before anyone else should change it) but I think it makes more sense to be in epidemiology. Regards, CycloneNimrod talk?contribs? 16:14, 6 June 2008 (UTC)

Perhaps a brief summary in the intro (e.g. postpartum) and then moving it? JFW | T@lk 12:21, 8 June 2008 (UTC)