Clinical and radiological characteristics of cerebral vein thrombosis: a retrospective study

Submitted: 25 May 2023
Accepted: 12 September 2023
Published: 12 October 2023
Abstract Views: 167
PDF: 89
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Authors

Cerebral vein thrombosis (CVT) is a rare type of stroke that can present with a wide range of symptoms and signs, making it challenging to differentiate from other neurological conditions. Therefore, this study aimed to evaluate the clinical characteristics and risk factors of cerebral vein thrombosis patients. This descriptive analysis included 103 CVT patients registered in two centers, one in Saudi Arabia and one in Oman. The study covered all patients who presented to these centers from 2006 to 2020 with a confirmed diagnosis. Out of the 103 CVT patients included in the study, 32% were male, and 68% were female, with a mean age of 39 years. Headache was the commonest presenting symptom, followed by seizures. Identifiable risk factors were observed in most patients, with oral contraceptive pills and pregnancy being the most prevalent risk factors. The transverse sinus was the most commonly involved sinus, followed by the sagittal sinus, while intracerebral bleeding was present in 22% of patients. CVT is an uncommon type of stroke that affects individuals in the middle age group, particularly child-bearing age females. The clinical characteristics of CVT vary, with headache being the most prevalent clinical presentation, and its diagnosis requires a high degree of clinical suspicion.

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Citations

Idiculla PS, Gurala D, Palanisamy M, et al. Cerebral venous thrombosis: a comprehensive review. Eur Neurol 2020;83:369-79. DOI: https://doi.org/10.1159/000509802
Stam J. Thrombosis of the cerebral vein and sinuses. N Eng J Med 2005;352:1791-8. DOI: https://doi.org/10.1056/NEJMra042354
Devasagayam S, Wyatt B, Leyden J, Kleinig T. Cerebral venous sinus thrombosis incidence is higher than previously thought. Stroke 2016;47:2180-2. DOI: https://doi.org/10.1161/STROKEAHA.116.013617
Coutinho JM, Zuurbier SM, Aramideh M, Stam J. The incidence of cerebral venous thrombosis: a cross-sectional study. Stroke 2012;43:3375-7. DOI: https://doi.org/10.1161/STROKEAHA.112.671453
Ulivi L, Squitieri M, Cohen H, et al. Cerebral venous thrombosis: a practical guide. Pract Neurol 2020;20:356-67. DOI: https://doi.org/10.1136/practneurol-2019-002415
Ferro JM, Canhao P, Stam J, et al. Prognosis of cerebral vein and dural sinus thrombosis: results of the international study on cerebral vein and dural sinus thrombosis (ISCVT). Stroke 2004;35:664-70. DOI: https://doi.org/10.1161/01.STR.0000117571.76197.26
Shahid R, Zafar A, Nazish S, et al. Etiologic and clinical features of cerebral venous sinus thrombosis in Saudi Arabia. J Neurosci Rural Pract 2019;10:278-82. DOI: https://doi.org/10.4103/jnrp.jnrp_305_18
Algahtani HA, Abdu AP, Shami AM, et al. Cerebral venous sinus thrombosis in Saudi Arabia. Neurosciences (Riyadh) 2011;16:329-34.
Lal D, Gujjar AR, Ramachandiran N, et al. Spectrum of cerebral venous thrombosis in Oman. Sultan Qaboos Univ Med J 2018;18:e329-e337. DOI: https://doi.org/10.18295/squmj.2018.18.03.011
Daif A, Awada A, Al-Rajeh S, et al. Cerebral venous thrombosis in adults. Stroke 1995;26:1193-5. DOI: https://doi.org/10.1161/01.STR.26.7.1193
Kajtazi NI, Zimmerman VA, Arulneyam JC, et al. Cerebral venous thrombosis in Saudi Arabia. Clinical variables, response to treatment, and outcome. Neurosciences (Riyadh) 2009;14:349-54.
Alqahtani MS, Alhazzani AA, Alnaami I, et al. Clinical and epidemiological profile of cerebral venous thrombosis. A multicenter retrospective study in Aseer Region Saudi Arabi. Neurosciences (Riyadh) 2020;25:380-5. DOI: https://doi.org/10.17712/nsj.2020.5.20200028
Daghriri HM, Alrajhi AA, Aburasain KS, et al. An assessment of cerebral venous thrombosis risk factors and associated clinical outcomes in Jazan region, Saudi Arabia. Neurosciences (Riyadh) 2021;26:15-20. DOI: https://doi.org/10.17712/nsj.2021.1.20200098
Al Hashmi K, Al Wahaibi K, Al-Khabori M, Al Lamki S. Characteristics and outcomes of patients with cerebral venous sinus thrombosis. Oman Med J 2019;34:434-7. DOI: https://doi.org/10.5001/omj.2019.79

How to Cite

Almegren, M. (2023). Clinical and radiological characteristics of cerebral vein thrombosis: a retrospective study. Bleeding, Thrombosis and Vascular Biology, 2(3). https://doi.org/10.4081/btvb.2023.85