Acute Cerebral Venous Stroke

2019 ◽  
pp. 189-207
Author(s):  
Catherine Arnold Fiebelkorn ◽  
Sherri A. Braksick
Keyword(s):  
Venous Stroke

scholarly journals DIAGNOSIS OF VENOUS ISCHEMIC STROKE. PART II (ALGORITHMS AND SEMIOLOGY OF DIAGNOSTIC RADIOLOGY. LIMITATIONS IN CLINICAL PRACTICE). A REVIEW

2019 ◽  
Vol 8 (3) ◽  
pp. 104-115
Author(s):  
S. E. Semenov ◽  
E. A. Yurkevich ◽  
I. V. Moldavskaia ◽  
M. G. Shatokhina ◽  
A. S. Semenov
Keyword(s):  
Ischemic Stroke ◽  
Transcranial Doppler ◽  
Sinus Thrombosis ◽  
Pathological Condition ◽  
Diagnostic Algorithm ◽  
Diagnostic Procedures ◽  
Cerebral Venous Sinus Thrombosis ◽  
Standards Of Care ◽  
Unstable Process ◽  
Venous Stroke

Venous stroke in cerebral venous sinus thrombosis is a rare pathological condition with uncertain diagnostic algorithm to ensure prompt treatment by neurologists and radiologists. All the methods are not obligatory in the workup of acute stroke, except computed tomography (CT) and transcranial Doppler. Researchers and clinicians are commonly guided by their own experiences. Therefore, the diagnosis of venous stroke is an unstable process resulting in its underestimation in the general stroke population. The optimal use of neuroimaging methods within the existing standards of care for patients with stroke, determination of the necessary and sufficient set of diagnostic procedures is an organizational and methodical problem. In addition, there is no complete description of venous ischemic stroke patterns in the medical literature. The article reviews existing evidence-based data on the diagnostic algorithms for venous stroke and discusses the probability of detecting radiologic symptoms based on the diagnostic accuracy and effectiveness of such methods as conventional CT and magnetic resonance imaging (MRI), CT and MR angiography, CT and MR perfusion, transcranial Doppler (TCD) and ultrasound of the brachiocephalic arteries stated in the national and international guidelines, as well as our own experience. Limitations of their use and options to overcome major drawbacks including the introduction of teleradiology are considered.

scholarly journals Isolated cortical venous thrombosis after fetal demise

2019 ◽  
Vol 12 (4) ◽  
pp. e228484
Author(s):  
Mohammad Al-Jundi ◽  
Ghassan Al-Shbool ◽  
Mohamad Muhailan ◽  
Moutasem Aljundi ◽  
Christian J Woods
Keyword(s):  
Family History ◽  
Early Diagnosis ◽  
Venous Thrombosis ◽  
Cerebral Venous Thrombosis ◽  
Clinical Presentation ◽  
Young Patients ◽  
Fetal Demise ◽  
History Of ◽  
Venous Stroke ◽  
Cortical Venous Thrombosis

Isolated cortical venous thrombosis (ICVT) occurring in the absence of dural venous thrombosis, constitutes about 2%–5% of all cerebral venous thrombosis. Its vague, non-specific presentation makes it a difficult and challenging diagnosis that needs an extensive workup especially in young patients. Outcome and prognosis depend mainly on early diagnosis and treatment. Here we discuss the clinical presentation, diagnosis and the treatment of a young woman diagnosed with ICVT with acute ischaemic venous stroke, in the setting of eclampsia and family history of coagulation disease.

Venous stroke: Which cerebral veins must remain patent? Expenmental study in pigs

1997 ◽  
Vol 99 ◽  
pp. S199
Author(s):  
T. Pietilä ◽  
J. Zabramski ◽  
D. Bichard ◽  
R. Spetzler ◽  
M. Brock
Keyword(s):  
Cerebral Veins ◽  
Venous Stroke

Venous Stroke Can Be the Unusual Clinical Presentation of an Arising Naso-Ethmoidal Encephalo-Meningocele in Adulthood

2009 ◽  
Vol 22 (5) ◽  
pp. 554-557
Author(s):  
A. Della Puppa ◽  
M. Fabbri ◽  
R. Manara ◽  
C. Carollo ◽  
C. Salimbeni Fattorello ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Venous Stroke

scholarly journals Progressive gait disorder and epilepsy secondary to venous stroke due to dural arteriovenous fistula type iii

2015 ◽  
Vol 30 (7) ◽  
pp. 450-451
Author(s):  
I. Navalpotro-Gomez ◽  
A. Rodríguez-Campello ◽  
R.M. Vivanco-Hidalgo ◽  
E. Vivas ◽  
J. Roquer-Gonzalez
Keyword(s):  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Gait Disorder ◽  
Type Iii ◽  
Venous Stroke

scholarly journals Safety analysis and complications of condylar screws in a single-surgeon series of 250 occipitocervical fusions

2021 ◽  
Author(s):  
Sharon Ka Po. Tam ◽  
Paolo A. Bolognese ◽  
Roger W. Kula ◽  
Andrew Brodbelt ◽  
Mansoor Foroughi ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Screw Fixation ◽  
Intraoperative Imaging ◽  
Case Series ◽  
Anatomical Landmarks ◽  
Occipitocervical Fusion ◽  
Neurophysiologic Monitoring ◽  
The Sacrifice ◽  
Venous Stroke

Abstract Objective Condylar screw fixation is a rescue technique and an alternative to the conventional configuration of occipitocervical fusion. Condylar screws are utilized when previous surgical bone removal along the supraocciput has occurred which makes anchoring of a traditional barplate technically difficult or impossible. However, the challenging dissection of C0-1 necessary for condylar screw fixation and the concerns about possible complications have, thus far, prevented the acquisition of large surgical series utilizing occipital condylar screws. In the largest case series to date, this paper aims to evaluate the safety profile and complications of condylar screw fixation for occipitocervical fusion. Methods A retrospective safety and complication-based analysis of occipitocervical fusion via condylar screws fixation was performed. Results A total of 250 patients underwent occipitocervical fusions using 500 condylar screws between September 2012 and September 2018. No condylar screw pullouts, or vertebral artery impingements were observed in this series. The sacrifice of condylar veins during the dissection at C0-1 did not cause any venous stroke. Hypotrophic condyles were found in 36.4% (91 of the 250) cases and did not prevent the insertion of condylar screws. Two transient hypoglossal deficits occurred at the beginning of this surgical series and were followed by recovery a few months later. Corrective strategies were effective in preventing further hypoglossal injuries. Conclusions This surgical series suggests that the use of condylar screws fixation is a relatively safe and reliable option for OC fusion in both adult and pediatric patients. Methodical dissection of anatomical landmarks, intraoperative imaging, and neurophysiologic monitoring allowed the safe execution of the largest series of condylar screws reported to date. Separate contributions will follow in the future to provide details about the long-term clinical outcome of this series.

scholarly journals Parametric Features of Regional Cerebral Blood Flow in Venous Ischemic Stroke

2019 ◽  
Vol 4 (3) ◽  
pp. 138-147
Author(s):  
S. E. Semenov
Keyword(s):  
Ischemic Stroke ◽  
Diffusion Mri ◽  
Sinus Thrombosis ◽  
Cerebral Venous Sinus Thrombosis ◽  
Reference Points ◽  
Regional Cerebral Blood ◽  
Definition Of ◽  
The Brain ◽  
Venous Ischemia ◽  
Venous Stroke

The lecture is devoted to the peculiarities of changes in tissue and cell perfusion of the brain with a rare pathology – venous ischemic stroke. Venous stroke, being a “relatively unknown cerebrovascular disease”, occurs up to 5 % of all cases of stroke. The terms “venous ischemia” and “venous stroke” have long been used in the literature and the definition of the venous nature of stroke should lead to a change in therapeutic tactics. Neuroimaging should ensure the verification of stroke and cerebral venous sinus thrombosis, which are the main cause of such a stroke. A certain “alertness” to the venous nature of the stroke with the expansion of the volume of radiologic methods of investigation and the performance of angiographic and perfusion CT and MR techniques, diffusion MRI allowed to increase the number of diagnosed and verified venous strokes from 0.4 % of the total number of stroke patients to 2.4 %. A distinctive feature of venous ischemic stroke from the arterial is moderate hyperemia in the central part in cases where necrosis does not develop and perifocal hyperperfusion in the development of necrosis. Moderate plethora, defined by perfusion parameters (up to 30 % CBF, CBV, MTT) of CT, MRI and SPECT techniques, and not oligemia is the primary damaging factor of the pathogenesis of venous stroke in contrast to the arterial and hyperemia patterns should be the reference points in emergency diagnosis venous stroke along with tomoangiographic symptoms of cerebral venous sinustrombosis.

scholarly journals Magnetic resonance imaging and computed tomography in the diagnosis of cerebral venous infarction

2021 ◽  
Vol 25 (4) ◽  
pp. 23-30
Author(s):  
P. M. Kotlyarov ◽  
I. Dz. Lagkueva ◽  
N. I. Sergeev
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Clinical Practice ◽  
Magnetic Resonance ◽  
Clinical Observation ◽  
Resonance Imaging ◽  
Venous Infarction ◽  
The Brain ◽  
Venous Stroke

A clinical observation of the diagnosis of cerebral venous stroke, rare in clinical practice, based on the data of magnetic resonance imaging and computed tomography of the brain, is presented, the semiotics of the revealed changes is described.

scholarly journals A comparative study of seizures in arterial and venous stroke

2017 ◽  
Vol 04 (01) ◽  
pp. 006-011
Author(s):  
R. Singh ◽  
S. Bhoi ◽  
Jayantee Kalita ◽  
Usha Misra ◽  
D. Gupta
Keyword(s):  
Ischemic Stroke ◽  
Sinus Thrombosis ◽  
Cerebral Venous Sinus Thrombosis ◽  
Modified Rankin Scale ◽  
Mr Venography ◽  
Resonance Imaging ◽  
Venous Sinus Thrombosis ◽  
Magnetic Resonance Imaging Mri ◽  
Venous Stroke ◽  
Early Seizures

Abstract Objective This study was undertaken to compare the frequency, spectrum and predictors of seizures in arterial stroke and cerebral venous sinus thrombosis (CVST). Methods The patients having seizures following arterial stroke or CVST during 2010–2015 were included. Stroke was confirmed by computerized tomography (CT) scan, magnetic resonance imaging (MRI) and or MR Venography (MRV). The seizures were categorized into early seizures (<14 days) and late seizures (≥14 days) of arterial stroke or CVST. Neurological findings, risk factors for stroke and CVST were noted. The severity of stroke was defined by National Institute of Health Stroke Scale (NIHSS). The outcome on discharge was assessed by modified Rankin Scale (mRS) as good (0–2) or poor (>2). Results There were 870 patients with arterial stroke and 128 with CVST. Seizures occurred in 74 (57.8%) of CVST and 119 (13.7%) of arterial stroke. Early seizures were more common in CVST than arterial stroke (98.6% vs. 47.9%, p = 0.001) whereas late seizures were more common after arterial stroke than CVST (52.1% vs. 1.4%, p = 0.001). In the arterial stroke, seizures were predicted by carotid territory ischemic stroke (OR 3.95, 95% CI 1.51–10.32, p = 0.005) and CVST by parenchymal involvement (OR 2.61, 95% CI 1.04–6.55, p = 0.04) Conclusion CVST results in more frequent and early seizures whereas in arterial stroke late seizures are common. Post stroke seizures in ischemic stroke were predicted by carotid territory infarction and venous stroke by parenchymal involvement.

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