Intracranial and intraspinal phlebitis and thrombophlebitis
Chapter 6:Diseases of the nervous system
ICD-10 G08 is a billable code used to indicate a diagnosis of intracranial and intraspinal phlebitis and thrombophlebitis.
Intracranial and intraspinal phlebitis and thrombophlebitis refer to the inflammation of veins within the cranial cavity or spinal canal, often associated with thrombosis. This condition can arise from various infectious processes, including bacterial meningitis, viral infections, or as a complication of other central nervous system (CNS) infections. The inflammation can lead to significant neurological deficits due to impaired venous drainage and increased intracranial pressure. Symptoms may include headache, fever, altered mental status, and focal neurological deficits. Diagnosis typically involves imaging studies such as MRI or CT scans, which can reveal venous thrombosis or associated edema. Treatment often requires anticoagulation therapy, management of the underlying infection, and sometimes surgical intervention. The condition is serious and can lead to complications such as cerebral venous sinus thrombosis, which can result in stroke or other severe neurological outcomes.
Detailed neurological examination findings, imaging results, and treatment plans.
Patients presenting with headaches, altered mental status, or focal neurological deficits.
Ensure that all relevant diagnostic tests and their results are documented to support the diagnosis.
Comprehensive history of infection, laboratory results, and treatment regimens.
Patients with CNS infections leading to complications such as phlebitis.
Document the infectious source and response to treatment to justify the diagnosis.
Used to evaluate for signs of phlebitis or thrombosis in patients presenting with neurological symptoms.
Document the indication for the CT scan and findings.
Neurology specialists should ensure imaging correlates with clinical findings.
Common causes include bacterial infections, particularly those leading to meningitis, as well as viral infections and complications from other CNS conditions.
Diagnosis typically involves a combination of clinical evaluation, imaging studies such as MRI or CT scans, and laboratory tests to identify underlying infections.
