Systematic review assesses treatment efficacy for cerebral sinus thrombosis, indicating optimal approaches for patient outcomes.
The combination of antibiotics, anticoagulation and surgery was associated with the most favourable outcome. Mastoidectomy and decompression of the sigmoid were commonly performed and largely safe. However, no additional benefit of incision and drainage of the sigmoid sinus was found and this was associated with a higher complication rate.
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Picton et al. (2026) studied this question.
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