A Study of the Clinical Profile of Cerebral Venous Sinus Thrombosis

Dr Vishwanath K, Dr K P Balaraj, Dr. B D Chavan
2014 IOSR Journal of Dental and Medical Sciences  
and objectives: CVT is an important cause of a stroke. Its varied presentations make the clinician to have strong degree of suspicion and investigate accordingly thus instituting early treatment. Objectives: To study clinical profile of cortical venous sinus thrombosis and to assess if possible any prognostic factors. Methods: Total 30 patients diagnosed as CVT by CT scan/MR angio (Direct and indirect findings of CVT) above 18 years studied. Patients with less than 18 years and stroke of
more » ... l origin were excluded. Results: The male to female ratio was 1:5, and total of 23 patients were alive with age group of 21-35 being maximally involved. Puerperium formed the bulk (18 patients) in female patients and of which 10 were from headache (94%), convulsions (78%) were predominant symptoms. Lateralising signs like hemiplegia (34%), were seem. Papilledema was an important sign present in 50% of patients. Superior sagital sinus thrombosis (40%) was the most common sinus to be involved with early diagnosis and treatment 68% patients were discharged without deficits rest had some deficits. Interpretation and Conclusion: 1) Puerperium formed the bulk of cause of CVT in female patients. 2) Headache convulsions, neurological defects and papilledema formed the important quadrant of presentation of CVT. 3) Superior sagittal sinus was the commonest involved. 4) With adequate treatment many had good recovery.
doi:10.9790/0853-13236166 fatcat:2yce3rieg5duncneo55ymimzzy