Changes in trend of cerebral venous sinus thrombosis

Shakibajahromi, Banafsheh; Ashjazadeh, Nahid; Safari, Anahid; Borhani‐Haghighi, Afshin

doi:10.18502/ijnl.v18i1.944

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…Cerebral venous sinus thrombosis (CVST) is an uncommon though potentially fatal cerebrovascular disease which mainly affects the younger and female population. 1,2 However, timely diagnosis and treatment may lead to better outcomes. 3,4 The CVST incidence varies between 5 and 20 per million annually.…”

Section: Introductionmentioning

confidence: 99%

The Hospitalization Rate of Cerebral Venous Sinus Thrombosis before and during COVID-19 Pandemic Era: A Single-Center Retrospective Cohort Study

Gharamaleki

Habibagahi

Hooshmandi

et al. 2022

Journal of Stroke and Cerebrovascular Diseases

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Section: Introductionmentioning

confidence: 99%

The Hospitalization Rate of Cerebral Venous Sinus Thrombosis before and during COVID-19 Pandemic Era: A Single-Center Retrospective Cohort Study

Gharamaleki

Habibagahi

Hooshmandi

et al. 2022

Journal of Stroke and Cerebrovascular Diseases

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“…Although the mortality of cerebral venous sinus thrombosis (CVST) has decreased in recent years, 1 it is still one of the most important causes of mortality and morbidity among young adult stroke patients. 2 Accordingly, early diagnosis and initiation of management are crucial.…”

Section: Introductionmentioning

confidence: 99%

Isolated headache and its association with characteristics and outcome of cerebral venous sinus thrombosis

Shakibajahromi

Borhani‐Haghighi

Vardanjani

et al. 2020

Cephalalgia Reports

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We aimed to evaluate the clinical characteristics and outcome, hospital stay, and intracranial hemorrhage (ICH) development of patients with cerebral venous sinus thrombosis (CVST) who presented with isolated headache. In a retrospective study, consecutive patients with a definite diagnosis of CVST referred to Namazi hospital (Shiraz University of Medical Sciences) from 2012 to 2016 were included. Clinical, radiological, and prognostic characteristics and outcome on discharge (using modified Rankin Scale (mRS)) were compared between the CVST patients who presented with isolated headache and other CVST patients through univariate analyses. The associations of isolated headache with poor outcome (mRS > 2), presence or development of ICH, and duration of hospital stay were assessed through multivariable analyses. Of the 174 patients, 45 (26.0%) presented with isolated headache. Presence of isolated headache was more frequent in men ( p value = 0.048) and patients with thrombophilia ( p value = 0.040). Lateral sinus involvement was more common in patients with isolated headache ( p value = 0.005). After adjustment for other variables, the isolated headache was significantly associated with shorter hospital stay (odds ratio (OR): 0.85, confidence interval (CI): 0.73–0.99) and lower risk of early ICH (OR: 0.314, CI: 0.132–0.749). Although poor outcome was significantly less frequent in patients with isolated headache on univariate analysis ( p value < 0.001), this association was not significant in multivariable analysis (OR: 0.324, CI: 0.035–2.985). CVST patients with isolated headache had lower ICH events and shorter hospital stay. CVST should be considered as a possible differential diagnosis in certain patients who present only with headache, particularly those with diffuse progressive headache, or underlying provocative conditions.

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“…Based on these non-speci c clinical features and complications, NCCT plays a vital role in the rst-line diagnostic workup, localization, and prognosis. The diagnosis of venous sinuses in the brain has increased over the past few years due to advances in imaging techniques (12). This increase is more prominently seen in children, young adults, women of childbearing age, and low-income countries.…”

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confidence: 99%

Evaluating the temporal changes of sinus density in patients with acute cerebral sinus vein thrombosis

Khameneh

Abbasi

Amirkhiz

et al. 2022

Preprint

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Introduction: Despite the studies performed to characterize the clot’s features in the acute phase in non-contrast computed tomography (NCCT), no study has been conducted to evaluate the non-acute phase and the threshold density that warrants further evaluation. Herein, we assessed the temporal changes of sinus density in patients with acute CVST.Methods: In this cross-sectional study, we searched our Picture Archiving and Communicating System (PACS) of our hospital between January 2015 and September 2021. Inclusion criteria were patients older than 18-year-old with acute CVST, with available Contrast-enhanced Magnetic Resonance Venography (CE-MRV) as the gold standard for confirming the presence and location of thrombosis. The readers were asked to assess the images regarding any subjective abnormal hyper- or hypo-attenuation within the venous sinus structures. Changes in the Hounsfield Unit (HU) of each venous segment during the time-course of the disease and the HU difference of affected sinus with other sinus segments were evaluated.Results: Out of 89 CT scan evaluations, 21 cases (23.6%) were performed in the acute, 38 (42.7%) presented in the subacute, and 30 (33.7%) presented in the chronic stage. In all involved venous sinuses, the mean blood density of various phases was a statistically significant difference. The agreement of the two radiologists to report the hypodense sinus sign was reported to be 0.7.(p-value <0.001).Conclusions: The results of our study suggest that quantitative measurement and qualitative findings of the hypodense sinus sign help to diagnose non-acute CVST better.

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Changes in trend of cerebral venous sinus thrombosis

Abstract: The abstract not available.

Cited by 3 publications

References 3 publications

The Hospitalization Rate of Cerebral Venous Sinus Thrombosis before and during COVID-19 Pandemic Era: A Single-Center Retrospective Cohort Study

The Hospitalization Rate of Cerebral Venous Sinus Thrombosis before and during COVID-19 Pandemic Era: A Single-Center Retrospective Cohort Study

Isolated headache and its association with characteristics and outcome of cerebral venous sinus thrombosis

Evaluating the temporal changes of sinus density in patients with acute cerebral sinus vein thrombosis

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