Cerebral Venous Thrombosis
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Chinese Medicine Treatment for Cerebral Venous Thrombosis
Acupuncture Treatment for Cerebral Thrombosis
Besides Chinese herbs, acupuncture treatment for Cerebral Thrombosis can reduce blood viscosity, control blood platelet adherency and aggregation, restrain erythrocyte gather as well as decrease blood cell volume so as to increase cerebral blood circulation, improve the oxygen supply of cerebral cell and promote the recovery of brain cells’ function. In China, The body acupuncture is often used according to acupoint of paralytic limbs.

1. According to the position of acupoint, the doctor will use body or head acupuncture to treat this disease in order to promote the condition of cerebral shock.

2. Blood-letting therapy can help the patients improve the blood circulation and meridian, so this method can promote the recovery of limbs.

3. Except Acupuncture, massage also can help the patients recover the function of blood circulation.


Treatment in Western Medicine:
With regard to stabilization, medical management of patients with cerebral venous thrombosis (CVT) is similar to that of patients with arterial stroke. Specific therapy for CVT involves anticoagulation or thrombolytic therapy. However, the use of anticoagulation in CVT has been a subject of consternation among neurologists as concern has been expressed over the possibility of increasing hemorrhage in patients treated in this manner. Existing data support the use of systemic anticoagulation as an initial therapy in all patients, even in the presence of intracranial hemorrhage.

Altered mental status or hemiplegia
Patients with altered mental status or hemiplegia should be given nothing by mouth to prevent aspiration. Intravenous (IV) fluids should not be hypotonic solutions. Normal saline is recommended at a rate of approximately 1000 mL in 24 hours. To decrease intracranial pressure, the patient’s head should be elevated 30-40° at all times. In the treatment of stroke patients, supplemental oxygen has not been shown to be beneficial unless the patient’s level of consciousness is decreased.

Surgical care
In cases of severe neurologic deterioration, open thrombectomy and local thrombolytic therapy have been described as beneficial. Herniation attributable to unilateral mass effect is the major cause of death in cerebral venous thrombosis (CVT). In CVT patients with large parenchymal lesions causing herniation, decompressive surgery has been lifesaving and often results in good functional outcome, even in patients with severe clinical conditions.

Frontal sinusitis
Frontal sinusitis should be aggressively treated before it leads to subdural empyema or CVT.

Adjuvant Treatment
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