Pathophys:Venous infarction and cerebral HT, blocked CSF flow
Children and young adults; 75% women
Sx:Headache (90%), unaffected by position; h/o head injury, ob delivery, bcp use, LP, otitis/mastoiditis
Si:Seizure (40%), abducens palsy, papilledema
80% recover full or near full function
Rx:Heparinize despite risk of bleeding into hemorrhagic infarcts, then warfarin × 6 mo to INR 2.5
of incr intracranial pressures: LPs and acetazolamide 500 mg po bid