A STUDY ON CLINICAL PROFILE AND PROGNOSIS IN CASES OF CEREBRAL SINUS AND VENOUS THROMBOSIS

Dr. U. Ramachader Rao; Dr. P. Shravan Kumar; Dr. K.S. Amaravathi

Volume : VI, Issue : X, October - 2016

A STUDY ON CLINICAL PROFILE AND PROGNOSIS IN CASES OF CEREBRAL SINUS AND VENOUS THROMBOSIS

Dr. U. Ramachader Rao, Dr. P. Shravan Kumar, Dr. K. S. Amaravathi

Abstract :

Background and objectives: : Cereal venous /sinus Thrombosis (CVT) is an important cause of a stroke with varied presentations but still remains a diagnostic and therapeutic challenge. A strong degree of suspicion and investigations accordingly help in instituting early treatment. Objectives: To evaluate of cases with confirmed cereal sinus and / or venous thrombosis and to study these cases with reference to their clinical presentation, neuro–imaging features and their outcome on follow up. . Methods: A total of 30 radiologically confirmed cases of cereal sinus and / or venous thrombosis by confirmed by CT scan/MR angio (Direct and indirect findings of CVT) above the age group > 15 years of both sexes. Patients with age less than 15 years and Results: A total of 30 patients were included in this study. There were 23 (77%) female and 7 (23%) male patients. There was relatively uniform distribution of cases in males Whereas they were concentrated in the age group of 15–35 years (91%) in females. Headache(90%) was the most common clinical feature followed by hemiparesis (43.3% ), seizures (36.6%), papilloedema (33.3%) and diplopia (16.6%). 56.6% of cases had infarct, 50% of cases had haemorrhage on CT/MRI. Superior sagittal sinus (46.6%) was the most commonly occluded venous sinus. At the time of discharge 63% of patients had a mRS score of < 2 , 3.3% of patients had a score of 2, 20% of patients had a score of 2–5 and 3.3.% (1 of 30 patients) had a score of 6. On 3 months follow up 76.6% of patients had a score of < 2. Conclusion: CVT was more common in women with commonest manifestation as headache. CVT was associated with good prognosis on follow up. Predictors of unfavourable outcome included diagnostic delay > 10 days, stupor or coma at admission, papilloedema, intracereal haemorrhage and thrombosis of deep venous system.