Clinical and neuroimaging correlation in patients with cerebral sinus venous thrombosis

• Main Authors: Basavaraj Mangshetty, Kotte Nagarjuna Reddy
• Format: Article
• Language: English
• Published: Al Ameen Medical College 2015-01-01
• Series: Al Ameen Journal of Medical Sciences
• Subjects: Cerebral venous thrombosis; Clinical manifestations; Radiological findings; acute stroke; anticoagulation
• Online Access: http://ajms.alameenmedical.org/ArticlePDFs/12%20AJMS%20V8.N1.2015%20p%2064-71.pdf

Objectives: To study the clinical and neuroimaging correlation in patients with cerebral sinus venous thrombosis. Methods: Clinically suspected 50 patients of CSVT, were subjected to neuro imaging techniques, fulfilling the study criteria were recruited by simple random sampling and data collected was analyzed by correlational studies. Results: Of the 50 patients, 29 (58%) were females and 21 (42%) were males, and the mean age was 29.7 years, with maximum incidence of 87.5% in age group 20-40 years. Most common symptoms were headache 88%, seizures 66%, focal deficits 54%, altered sensorium 52% and mode of presentation was sub acute in 46% cases. Radiologically most common sinus involved was superior sagittal sinus 70%. 5 patients died during hospitalization. Out of the survived patients 35 patients (70%) had complete recovery. Poor prognostic factors at the time of admission were stupor and coma and evidence of haemorrhagic infarction in primary CT scan. Conclusion: Clinical manifestations, prognostic factors, common involved sinuses and image findings of this study were similar to those of other studies. Overall prognosis was good, but small percentage of patients died. Management with heparin and oral anticoagulants is safe and effective.