Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 12/2/2025

Cerebral Venous Thrombosis

Risk Factors and Associations

  • The American College of Cardiology and other guideline societies suggest that states of hypercoagulability, such as factor V Leiden, prothrombin mutations, and deficiencies of protein C/S/antithrombin III, are risk factors for cerebral venous thrombosis that predispose to thrombosis of the Labbé vein 1
  • Dehydration is also a risk factor for cerebral venous thrombosis, according to clinical guidelines 1
  • Acquired hypercoagulable conditions, such as lupus anticoagulant and anticardiolipin antibodies, increase the risk of cerebral venous thrombosis 2
  • Malignancies and cancer-associated prothrombotic states are also risk factors for cerebral venous thrombosis 3

Clinical Presentation

  • Headache is the most common symptom of cerebral venous thrombosis, occurring in 90% of cases 1
  • Seizures occur in 40% of patients with cerebral venous thrombosis 1
  • Focal neurological deficits, such as hemiparesis and aphasia, are common manifestations of cerebral venous thrombosis 1