Cerebral venous sinus thrombosis history and symptoms

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Symptoms

Headache is a common presentation (present in 90% of cases); it tends to worsen over a period of several days, but may also develop suddenly (thunderclap headache).[1] The headache may be the only symptom of cerebral venous sinus thrombosis.[2] Many patients have symptoms of stroke: inability to move one or more limbs, weakness on one side of the face or difficulty speaking. This does not necessarily affect one side of the body as in "arterial" stroke.[1] 40% of all patients have seizures (more in women before and after birth[3]), mostly focal but often generalised and sometimes leading to status epilepticus.[1] In the elderly, many of the aforementioned symptoms may not occur. Common symptoms in the elderly with this condition are a depressed level of consciousness and otherwise unexplained changes in mental status.[4]

References

  1. 1.0 1.1 1.2
  2. Cumurciuc R, Crassard I, Sarov M, Valade D, Bousser MG (2005). "Headache as the only neurological sign of cerebral venous thrombosis: a series of 17 cases". J. Neurol. Neurosurg. Psychiatr. 76 (8): 1084–7. doi:10.1136/jnnp.2004.056275. PMID 16024884.
  3. Einhäupl K, Bousser MG, de Bruijn SF; et al. (2006). "EFNS guideline on the treatment of cerebral venous and sinus thrombosis". Eur. J. Neurol. 13 (6): 553–9. doi:10.1111/j.1468-1331.2006.01398.x. PMID 16796579.
  4. Ferro JM, Canhão P, Bousser MG, Stam J, Barinagarrementeria F (2005). "Cerebral vein and dural sinus thrombosis in elderly patients". Stroke. 36 (9): 1927–32. doi:10.1161/01.STR.0000177894.05495.54. PMID 16100024.