Cerebral venous sinus thrombosis natural history
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sharmi Biswas, M.B.B.S
Overview
Common complications of cerebral venous thrombosis include neurological deficits, coma, and death.
Natural History, Complications, and Prognosis
Natural History
- The symptoms of cerebral venous thrombosis(CVT) usually develop in the first decade of life, and start with symptoms such as headache, seizures, neurological deficits, visual impairment, decreased level of consciousness. [1][2]
- 15% of patients with CVT may progress to develop residual epilepsy, cognitive impairment, recurrent CVT or systemic thromboembolism.
Complications
- Common complications of cerebral venous thrombosis (CVT) include:
- Hydrocephalus[2][1]
- Cognitive impairment
- Neurological deficit
- Residual epilepsy
- Coma
- Death
Prognosis
The prognosis of CVT is favorable than other strokes. Complete functional recovery has been reported in 75% of patients but 15% of patients die or become dependent.[3] Study showed women has better prognosis than men. 81% of women recovered completely while only 71 % of men had so.[4] Recurrent thrombosis is a common complication in CVT, around 6.5% per year but mostly in patients who are not on anticoagualnts.[3]
References
- ↑ 1.0 1.1 Bushnell, Cheryl; Saposnik, Gustavo (2014). "Evaluation and Management of Cerebral Venous Thrombosis". CONTINUUM: Lifelong Learning in Neurology. 20: 335–351. doi:10.1212/01.CON.0000446105.67173.a8. ISSN 1080-2371.
- ↑ 2.0 2.1 Faiz, Kashif Waqar; Vetvik, Kjersti Grøtta; Harper, Charlotte Elena; Kristoffersen, Espen Saxhaug (2018). "Cerebral venetrombose – forekomst, diagnostikk og behandling". Tidsskrift for Den norske legeforening. doi:10.4045/tidsskr.17.1047. ISSN 0029-2001.
- ↑ 3.0 3.1 Ferro, José M.; Canhão, Patrícia; Stam, Jan; Bousser, Marie-Germaine; Barinagarrementeria, Fernando (2004). "Prognosis of Cerebral Vein and Dural Sinus Thrombosis". Stroke. 35 (3): 664–670. doi:10.1161/01.STR.0000117571.76197.26. ISSN 0039-2499.
- ↑ Coutinho, Jonathan M.; Ferro, José M.; Canhão, Patrícia; Barinagarrementeria, Fernando; Cantú, Carlos; Bousser, Marie-Germaine; Stam, Jan (2009). "Cerebral Venous and Sinus Thrombosis in Women". Stroke. 40 (7): 2356–2361. doi:10.1161/STROKEAHA.108.543884. ISSN 0039-2499.