Cerebral venous sinus thrombosis: Analysis of 27 cases Serebral Venöz Sinus Trombozu: 27 olgunun incelenmesi


Duran S., Özyurtlu D., Taşkapilioǧlu Ö., HAKYEMEZ B. , Bakar M.

Turk Beyin Damar Hastaliklar Dergisi, vol.20, no.3, pp.87-93, 2014 (Refereed Journals of Other Institutions) identifier

  • Publication Type: Article / Article
  • Volume: 20 Issue: 3
  • Publication Date: 2014
  • Doi Number: 10.5505/tbdhd.2014.40412
  • Title of Journal : Turk Beyin Damar Hastaliklar Dergisi
  • Page Numbers: pp.87-93
  • Keywords: Anticoagulant therapy, Papilledema, Postpartum period, Sinus sagitalis superior, Venous sinus thrombosis

Abstract

Copyright © 2012 TBDHD.Objective: Cerebral venous thrombosis (CVT) is a rare subtype of cerebrovasculer disease which is caused by the partial or complete occlusion of the dural sinuses and cerebral veins. Typical clinical signs include headache, visual problems, papil eodema and seizures. Pregnant women, especially during the puerperium, oral contraceptive pills and steroid treatment, individuals with thrombophilia are a special risk group. must make use of cranial MR imaging and MR venography to confirm the diagnosis; because cranial CT scan is normal of %25 of all cases. Material and Methods: The study January 2009 - neurology clinic of our hospital between July 2012 has been finalized 27 cases were diagnosed by imaging methods. Demographic characteristics, etiological factors, clinical and imaging findings, treatment and prognosis were analyzed retrospectively. In all cases, cranial CT and/or cranial MRI, MR venography was performed. Results: 21 female patients (77.8%) and 6 males (22.2%) and the mean age of 34 (19-76) years. Etiologically 5 patients (18.5%) is pregnant or in the postpartum period, 5 patients (18.5%), vasculitis, 4 patients (14.9%), the use of OKS, 3 patients (11.1%), infection in 2 patients (7.4%), hematologic causes, and 2 patients (7.4%) were detected in 6 patients OKS non-drug use (22.2%) found a reason. Cranial CT and MR imaging in 7 patients (25.9%), ischemic infarct, 8 patients (29.6%), hemorrhagic infarction, 3 patients (11.1%), hematoma, three patients (11.1%) was detected in addition to evidence of infective 6 patients (22.2%) were seen to be affected parenchyma. Conclusion: Cerebral venous sinus thrombosis seen in all age groups, a condition in which the various signs and symptoms. New onset and severe headache, focal neurological signs and/or the presence of seizures, organ failure will bring faster diagnosis, treatment should be initiated as early as possible.