Venous thromboembolism is a common comorbidity in neurosurgery department that can lead to life-threatening pulmonary embolism,endangering patient health.The unique characteristics of neurosurgical conditions often present a high risk of bleeding,which complicates the treatment of venous thrombosis.Although numerous observational studies and meta-analyses support the feasibility of initiating early anticoagulation prevention or treatment after hemorrhage stabilization in intracranial hemorrhagic conditions such as traumatic brain injury and cerebral hemorrhage,there is a lack of high-quality clinical research.As a result,neurosurgeons tend to adopt a conservative approach regarding pharmacological prophylaxis and anticoagulant treatment for venous thromboembolism.Key aspects such as the timing of prevention,monitoring,and discontinuation of treatment still require high-quality research to establish definitive guidelines.
Venous thromboembolismCerebral hemorrhageBrain neoplasmsWounds and injuriesAnticoagulantsHeparin,low-molecular-weightReview