Cerebral venous sinus thrombosis history and symptoms: Difference between revisions

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{{Cerebral venous sinus thrombosis}}
{{Cerebral venous sinus thrombosis}}
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<br />
== Overview ==
[[Symptoms]] of [[cerebral venous sinus thrombosis]] often overlap with the [[clinical]] presentations of other [[strokes]]. [[Headache]] is the most common presenting [[symptom]] followed by [[seizure]], [[unconsciousness]], [[cognitive]] impairments.
==History and Symptoms==
===Symptoms===
===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]]).<ref name=Stam2005/> The headache may be the only symptom of cerebral venous sinus thrombosis.<ref name=Cumurciuc2005>{{cite journal |author=Cumurciuc R, Crassard I, Sarov M, Valade D, Bousser MG |title=Headache as the only neurological sign of cerebral venous thrombosis: a series of 17 cases |journal=J. Neurol. Neurosurg. Psychiatr. |volume=76 |issue=8 |pages=1084–7 |year=2005 |pmid=16024884 |doi=10.1136/jnnp.2004.056275}}</ref> Many patients have symptoms of [[stroke]]: inability to move one or more limbs, weakness on one side of the face or [[aphasia|difficulty speaking]]. This does not necessarily affect one side of the body as in "arterial" stroke.<ref name=Stam2005/> 40% of all patients have [[seizure]]s (more in women before and after birth<ref name=EFNS>{{cite journal |author=Einhäupl K, Bousser MG, de Bruijn SF, ''et al'' |title=EFNS guideline on the treatment of cerebral venous and sinus thrombosis |journal=Eur. J. Neurol. |volume=13 |issue=6 |pages=553–9 |year=2006 |pmid=16796579 |doi=10.1111/j.1468-1331.2006.01398.x}}</ref>), mostly [[Focal seizures|focal]] but often [[Tonic-clonic seizure|generalised]] and sometimes leading to [[status epilepticus]].<ref name=Stam2005/> In the elderly, many of the aforementioned symptoms may not occur. Common symptoms in the elderly with this condition are a [[coma|depressed level of consciousness]] and otherwise unexplained changes in [[mental status]].<ref>{{cite journal |author=Ferro JM, Canhão P, Bousser MG, Stam J, Barinagarrementeria F |title=Cerebral vein and dural sinus thrombosis in elderly patients |journal=Stroke |volume=36 |issue=9 |pages=1927–32 |year=2005 |pmid=16100024 |doi=10.1161/01.STR.0000177894.05495.54}}</ref>
 
*[[Headache]]:  It 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]]).<ref name="Stam2005">{{cite journal |author=Stam J |title=Thrombosis of the cerebral veins and sinuses |journal=N. Engl. J. Med. |volume=352 |issue=17 |pages=1791–8 |year=2005 |pmid=15858188 |doi=10.1056/NEJMra042354}}</ref> The headache may be the only symptom of cerebral venous sinus thrombosis.<ref name="Cumurciuc2005">{{cite journal |author=Cumurciuc R, Crassard I, Sarov M, Valade D, Bousser MG |title=Headache as the only neurological sign of cerebral venous thrombosis: a series of 17 cases |journal=J. Neurol. Neurosurg. Psychiatr. |volume=76 |issue=8 |pages=1084–7 |year=2005 |pmid=16024884 |doi=10.1136/jnnp.2004.056275}}</ref>
*Inability to move one or more limbs
*Weakness on one side of the face
*[[Aphasia]]
*[[Seizure]]s:  40% of all patients have seizure.  It is more in women before and after birth.<ref name="EFNS">{{cite journal |author=Einhäupl K, Bousser MG, de Bruijn SF, ''et al'' |title=EFNS guideline on the treatment of cerebral venous and sinus thrombosis |journal=Eur. J. Neurol. |volume=13 |issue=6 |pages=553–9 |year=2006 |pmid=1679657
|doi=10.1111/j.1468-1331.2006.01398.x}}</ref>
**[[Focal seizures]]
**[[Tonic-clonic seizure]]
**[[Status epilepticus]]<ref name="Stam2005" />
*[[Coma|Depressed level of consciousness]] and otherwise unexplained changes in [[mental status]] are common symptoms in the elderly.<ref>{{cite journal |author=Ferro JM, Canhão P, Bousser MG, Stam J, Barinagarrementeria F |title=Cerebral vein and dural sinus thrombosis in elderly patients |journal=Stroke |volume=36 |issue=9 |pages=1927–32 |year=2005 |pmid=16100024 Common symptoms in the elderly with this condition|doi=10.1161/01.STR.0000177894.05495.54}}</ref>


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
{{WH}}
{{WS}}
[[Category:Neurology]]
[[Category:Disease]]
[[Category:Needs overview]]

Latest revision as of 21:22, 27 July 2021

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: : Kalsang Dolma, M.B.B.S.[2] Sharmi Biswas, M.B.B.S


Overview

Symptoms of cerebral venous sinus thrombosis often overlap with the clinical presentations of other strokes. Headache is the most common presenting symptom followed by seizure, unconsciousness, cognitive impairments.

History and Symptoms

Symptoms

References

  1. ↑ 1.0 1.1 Stam J (2005). "Thrombosis of the cerebral veins and sinuses". N. Engl. J. Med. 352 (17): 1791–8. doi:10.1056/NEJMra042354. PMID 15858188.
  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 1679657.
  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 Common symptoms in the elderly with this condition 16100024 Common symptoms in the elderly with this condition Check |pmid= value (help).

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