Thrombose veineuse cérébrale au décours d’une méningo-radiculite herpétique. Quel est le mécanisme physiopathologique ?

Mazzoleni, R; Piette, Thierry; Lucas, Christian; Seeldrayers, Pierrette

doi:10.1016/j.neurol.2011.08.020

Cited by 3 publications

(4 citation statements)

References 5 publications

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“…The explanation might be that this medication is not used on a wide scale by our female population as a contraceptive measure. Studies made in countries from the Middle East had the same percentage of patients using oral contraceptives as we found in our study [5,14,16,[17][18][19][20][21][22]56,57].…”

Section: Discussionsupporting

confidence: 83%

“…The implications of genetic and some behaviour factors explain the different aetiologies found in different ethnic Correspondence to: Rodica Bălaşa E-mail: iipascu@redatronic.ro and population groups. These differenced determined us to look carefully in our CVT patient group [1,2,9,10,[17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36].…”

Section: Introductionmentioning

confidence: 99%

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Risk factors and diagnosis of cerebral venous thrombosis: Data from a cohort of 45 Romanian patients

Bălaşa

Daboczi

Costache

et al. 2014

Acta Medica Marisiensis

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Cerebral venous thrombosis (CVT) represents 1% of the total stroke pathology but is a real challenge both regarding the diagnosis and the treatment. Objective: Evaluate different etiological, demographical, clinical, imaging and therapeutic aspects of CVT. Material: Prospective study during 4 years. From the total 3658 patients hospitalized with acute stroke, 45 (1.23%) had CVT. For each patient, were recorded: demographic data, symptom of onset, type of onset, daily habits, medical history, neurological examination, brain imaging (CT and MRI with venography). Statistical analysis: data are presented as mean and SD and Student t test was applied. Results: Mean age was 44.07± 23,12 years; female: male ratio 2.21:1. The most frequent type of onset was acute (77.78%). Headache was found in 80% of cases as initial symptom, followed by neurological focal deficits. As risk factors, thrombophilia was found most often (59.5%), followed by local infections. No risk factors were found in 17.8% of cases. The brain imaging was positive in 29 patients. In 16 cases, the imaging workout was negative and the diagnosis consisted of clinical criteria, risk factors, response to heparin treatment. Conclusions: CVT is a rare pathology that affects mainly young women and that needs a complex diagnostic evaluation. The patient prototype diagnosed with CVT in our region: female of 44 years old, with an intense acute headache, with MRI showing direct signs of transverse sinus thrombosis, with a thrombophilic state and good response to anticoagulants. Brain MRI is the imaging investigation required but clinical aspects play a decisive role.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Risk factors and diagnosis of cerebral venous thrombosis: Data from a cohort of 45 Romanian patients

Bălaşa

Daboczi

Costache

et al. 2014

Acta Medica Marisiensis

View full text Add to dashboard Cite

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“…Acquired risks factors include all the usual causes of VTE and additionally causes such as brain tumors,[18] head trauma,[19] central nervous system infections (bacterial meningitis, cerebral malaria,[20212223] intracranial hypotension,[242526272829] any local head infection,[2] extracerebral neoplasias,[3031] dural fistulas,[32] hematological conditions,[3334353637] nephrotic syndrome,[38394041] systemic vasculitis,[424344] medicaments (cisplatin,[45] methotrexate,[46] steroids), neurological surgery, lumbar puncture,[47484950] pregnancy,[151525354] Puerperium. [35556] The Table 1 summarizes the risk factors associated to CSVT.…”

Section: Causes and Risk Factorsmentioning

confidence: 99%

Cerebral sinus venous thrombosis

Alvis-Miranda¹,

Castellar-Leones²,

Alcalá-Cerra

et al. 2013

Journal of Neurosciences in Rural Practice

119

129

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Cerebral sinus venous thrombosis (CSVT) is a rare phenomenon that can be seen with some frequency in young patients. CSVT is a multifactorial condition with gender-related specific causes, with a wide clinical presentation, the leading causes differ between developed and developing countries, converting CSVT in a condition characterized by a highly variable clinical spectra, difficult diagnosis, variable etiologies and prognosis that requires fine medical skills and a high suspicious index. Patients who presents with CSVT should underwent to CT-scan venography (CVT) and to the proper inquiry of the generating cause. This disease can affect the cerebral venous drainage and related anatomical structure. The symptoms may appear in relation to increased intracranial pressure imitating a pseudotumorcerebri. Prognosis depends on the early detection. Correcting the cause, generally the complications can be prevented. Mortality trends have diminished, and with the new technologies, surely it will continue. This work aims to review current knowledge about CSVT including its pathogenesis, etiology, clinical manifestations, diagnosis, and treatment.

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“…Elle a été décrite pour la première fois par Hutchinson en 1890 et reconnue après sa publication par Horton en 1932. Sur le plan histologique elle se caractérise par un aspect typique de panarterite inflammatoire atteignant les 3 tuniques de l'artère avec un épaississement intimal et fibrose, une infiltration granulomateuse à cellules géantes qui prédomine au sein de la media et rompant la limitante élastique interne [ 2 , 4 , 5 ]. C'est une vascularite qui concerne en général la personne âgée, avec une incidence maximum dans la fourchette des 70 à 75 ans.…”

Section: Discussionunclassified

Acouphènes révélateurs de la maladie de Horton

Ouraini¹,

Rouihi²,

Nakkabi³

et al. 2015

Pan Afr Med J

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La maladie de Horton est une artérite giganto-cellulaire touchant les artères de gros et de moyen calibre du territoire céphalique. Elle a une expression clinico-biologique polymorphe. Le diagnostic de certitude est posé devant des formes typiques comportant des critères diagnostiques cliniques et paracliniques établis par l'ACR (American College of Rhumatology). Cependant certaines formes atypiques de la maladie peuvent faire retarder le diagnostic, c'est le cas notamment des formes révélées par des manifestations ORL qui sont inhabituelles et peu spécifiques. Le but de ce travail est de rapporter un cas atypique de la maladie de Horton révélé par des acouphènes, le retard diagnostique pouvant être à l'origine d'une mauvaise prise en charge thérapeutique, avec des risques de complications vasculaires graves.

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Thrombose veineuse cérébrale au décours d’une méningo-radiculite herpétique. Quel est le mécanisme physiopathologique ?

Cited by 3 publications

References 5 publications

Risk factors and diagnosis of cerebral venous thrombosis: Data from a cohort of 45 Romanian patients

Risk factors and diagnosis of cerebral venous thrombosis: Data from a cohort of 45 Romanian patients

Cerebral sinus venous thrombosis

Acouphènes révélateurs de la maladie de Horton

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