Home
About Us
Issues
Authors
Reviewers
Users
Subscription
Our Other Journals
Site map
Aims and Scope
Salient Features
Editorial Board
Editorial Statements
Editorial-PeerReview Process
Publication Ethics & Malpractice
Ijars Performance
Journal Policy
Contact Us
Current Issue
Forthcoming
Article Archive
Access Statistics
Simple Search
Advanced Search
Submit an Article
Instructions
Assistance
Publication Fee
Paid Services
Apply As Reviewer
Acknowledgment
Register Here Edit Register
Register For Article Submission
Login Here Logout
Login For Article Submission
Annual
Buy One Issue
Payment Options
How to Order
JCDR
IJNMR
NJLM

 

Welcome : Guest

Users Online :

 

 

 

 

 

 

 

 

Original article / research

Year :2015 Month : September-October Volume : 4 Issue : 4 Page : 5 - 9

Cerebral Venous Sinus Thrombosis: An Institutional Experience

Correspondence Address :
Saurabh Arora, Hanish Bansal, Sandeep Puri, Rajinder Bansal, Chetan Wadhwa,
Dr. Hanish Bansal,
10-B Udham Singh Nagar, Civil Lines, Ludhiana, Punjab
-141001, India.
E-mail: y2khanish@gmail.com
Introduction: Introduction: Cerebral venous thrombosis (thrombosis of cerebral veins and sinuses) accounting for 0.5% of all strokes has a variable clinical presentation making early diagnosis difficult. A number of prothrombotic states have been implicated in causation of cerebral venous sinus thrombosis. Anticoagulation with intravenous heparin followed by warfarin for 3-6 months is currently recommended for majority of cases, even in the presence of mild or moderate hemorrhagic transformation. This may need to be continued for longer in some patients who have underlying prothrombotic states.

Aim: To study clinical profile and outcome of patients of cerebral venous sinus thrombosis admitted in a tertiary care hospital in northern India.

Materials and Methods: The study was carried out in a tertiary care hospital where all patients of cerebral venous thrombosis admitted between 1st January 2005 and 31st December, 2008 (retrospective) and between 1st January 2009 and 30th June 2010 (prospective) were included in the study. The enrolled patients were studied for their demographic profile and complete history was taken. Patients were followed up for minimum period of 6 months and outcome was assessed on basis of morbidity and mortality on follow-up.

Results: A total of 46 patients of cerebral venous sinus thrombosis were included in the study. The mean age of the patients was 35.5 years. Out of 25 female patients in the study group, 8 female patients (32%) had puerperium as risk factor and 4 patients (16%) had oral contraceptive use as risk factor. Most common symptom was headache which was present in 41 patients comprising 89.1% of total patients. 39 patients (84.8%) were alive at the end of follow-up and 7 patients died (15.2%). Out of 39 patients who survived, 31 cases (79.4%) had no disability symptoms, 5 patients had mild disability (13%) and 3 patients had moderate disability at six months of follow-up.

Conclusion: The recent advances in early diagnosis and prompt management of cerebral venous thrombosis have significantly improved its outcome with markedly decreased morbidity and mortality. The role of endovascular thrombolysis and decompressive craniectomy in the management of severe cerebral venous thrombosis cases remain to be defined. Cerebral venous sinus thrombosis is a clinical entity with a low risk of death and good long-term prognosis in modern era.
 
[ FULL TEXT ]   |   [ ]
 

Article Utilities

  • Readers Comments
  • Article in PDF
  • Citation Manager
  • Article Statistics
  • Link to PUBMED
  • Print this Article
  • Send to a Friend

Quick Links

REVIEWER
ACCESS STATISTICS
Home  |  About Us  |  Online First  |  Current Issue  |  Simple Search  |  Advance Search  |  Register  |  Login  |  Contact  |  Privacy Policy  |  Terms of Use
Author Support  |  Submit Manuscript  |  IJARS Pre-Publishing  |  Reviewer  |  Articles Archive  |  Access Statistics
©INTERNATIONAL JOURNAL OF ANATOMY RADIOLOGY & SURGERY (IJARS), ISSN : 2277-8543.
EDITORIAL OFFICE : 1/9, Roop Nagar, Delhi 11000. Phone : 01123848553

* This Journal is owned and run by medical professionals *