scholarly journals Cerebral Venous Thrombosis Initially Considered as a Complication of Spinal-Epidural Anaesthesia

2005 ◽  
Vol 33 (6) ◽  
pp. 711-714 ◽  
Author(s):  
A Karci ◽  
F Boyaci ◽  
E Yaka ◽  
R Çakmur ◽  
S Men ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Epidural Anaesthesia ◽  
Cerebral Venous Thrombosis ◽  
Post Partum ◽  
Epileptic Seizures ◽  
Complete Recovery ◽  
Motor Deficits ◽  
Resonance Imaging ◽  
Unusual Condition ◽  
Spinal Epidural

Cerebral venous thrombosis is an unusual condition characterized by headache, nausea, vomiting, focal deficits and epileptic seizures. In this case report we describe a patient who presented with headache and focal motor deficits after an uneventful Caesarean section, performed using combined spinal-epidural anaesthesia. Magnetic resonance imaging was performed because of the pronounced neurological symptoms, and a diagnosis of cerebral venous thrombosis was made. The patient was treated with anticoagulant agents and made a complete recovery. This case emphasizes the importance of considering cerebral venous thrombosis in the differential diagnosis of headache in the post-partum period prior to instituting conventional therapy.

Failed visualization of clot signal in cerebral venous thrombosis on initial MR imaging

VASA ◽  
2007 ◽  
Vol 36 (4) ◽  
pp. 275-277
Author(s):  
Cioli ◽  
von Stockhausen ◽  
Jauss ◽  
Siekmann ◽  
Stolz
Keyword(s):  
Magnetic Resonance Imaging ◽  
Venous Thrombosis ◽  
Cerebral Venous Thrombosis ◽  
Spin Echo ◽  
Mr Venography ◽  
Resonance Imaging ◽  
Venous Flow ◽  
Positive Identification ◽  
Mri Sequences ◽  
Magnetic Resonance Imaging Mri

Currently, the combination of T1- and T2-weighted spin echo magnetic resonance imaging (MRI) sequences with MR venography is considered the best diagnostic tool for diagnosing cerebral venous thrombosis (CVT), because they allow positive identification of the thrombotic clot along with the disturbed venous flow signal. We report two patients in whom initial MRI with the mentioned techniques did not show a clot signal. In both patients anticoagulation was started despit lacking proof of CVT by imaging and both patients improved. Only on repeated MRI sinus clot signal could be confirmed.

Children with Cerebral Venous Thrombosis Diagnosed with Magnetic Resonance Imaging and Magnetic Resonance Angiography

Neurosurgery ◽  
1992 ◽  
Vol 31 (5) ◽  
pp. 870???876 ◽  
Author(s):  
Michael D. Medlock ◽  
William C. Olivero ◽  
William C. Hanigan ◽  
Robert M. Wright ◽  
Sally Jo Winek
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Magnetic Resonance Angiography ◽  
Venous Thrombosis ◽  
Cerebral Venous Thrombosis ◽  
Resonance Imaging

scholarly journals Diffusion-Weighted Magnetic Resonance Imaging in a Case of Cerebral Venous Thrombosis

Stroke ◽  
1998 ◽  
Vol 29 (12) ◽  
pp. 2649-2652 ◽  
Author(s):  
J. C. Corvol ◽  
C. Oppenheim ◽  
R. Manaï ◽  
M. Logak ◽  
D. Dormont ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Venous Thrombosis ◽  
Cerebral Venous Thrombosis ◽  
Resonance Imaging ◽  
Diffusion Weighted ◽  
Weighted Magnetic Resonance Imaging

scholarly journals Incidence and Mortality of Cerebral Venous Thrombosis in a Norwegian Population

Stroke ◽  
2020 ◽  
Vol 51 (10) ◽  
pp. 3023-3029
Author(s):  
Espen Saxhaug Kristoffersen ◽  
Charlotte Elena Harper ◽  
Kjersti Grøtta Vetvik ◽  
Svetozar Zarnovicky ◽  
Jakob Møller Hansen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Venous Thrombosis ◽  
Cerebral Venous Thrombosis ◽  
International Classification Of Diseases ◽  
Population Based ◽  
University Hospital ◽  
Motor Deficits ◽  
Cross Sectional ◽  
Norwegian Population ◽  
Incidence And Mortality

Background and Purpose: There are conflicting figures of the incidence of cerebral venous thrombosis (CVT). The incidence was previously estimated to around 0.5/100 000/y, but more recent studies have suggested 1 to 1.5/100 000/y. The purpose of this study was to explore the incidence and mortality of CVT in a Norwegian population. Methods: A retrospective cross-sectional hospital population-based study conducted at Akershus University Hospital serving roughly 10% of the total Norwegian population. Patients were identified through chart reviews based on the relevant International Classification of Diseases ( Tenth Revision ) codes for new CVT cases in a 7-year period between January 1, 2011, and December 31, 2017. Only inhabitants living in the hospital’s catchment area were included. Results: Sixty-two patients aged 0 to 80 years were identified and included. The median age was 46 years and 53% were females. The overall incidence of CVT was 1.75 (95% CI, 1.36–2.23) per 100 000/y with no significant sex differences. The incidence for children and adolescents (<18 years, n=9) was lower than for adults (≥18 years, n=53); 1.08 (0.52–1.97) versus 1.96 (1.49–2.55) per 100 000/y per year, with the highest incidence for those >50 years with 2.10 (1.38–3.07)/100 000/y. Headache was the most prevalent symptom, reported in 83%, followed by nausea, motor deficits, and seizures observed in 45%, 32%, and 32% of the patients. Transverse sinuses and the jugular vein were the most frequent sites of thrombosis. In most patients (61%), thrombosis occurred in multiple sinuses/veins. Risk factors were found in 73% of the patients, and most of the patients had a combination of 2 or more risk factors. The 30-day and 1-year mortality rates were 3% and 6%. Conclusions: The incidence of CVT in this population was higher than previously reported. The mortality rate was similar to previous studies.

scholarly journals Clinicoepidemiological profile of cerebral venous thrombosis in Algarve, Portugal: A retrospective observational study

2015 ◽  
Vol 06 (04) ◽  
pp. 613-616
Author(s):  
Hipólito Nzwalo ◽  
Fátima Rodrigues ◽  
Patricia Carneiro ◽  
Ana Macedo ◽  
Fátima Ferreira ◽  
...  
Keyword(s):  
Statistical Analysis ◽  
Venous Thrombosis ◽  
Rural Areas ◽  
Cerebral Venous Thrombosis ◽  
Adult Population ◽  
Diagnostic Delay ◽  
Clinical Manifestations ◽  
Complete Recovery ◽  
Case Review ◽  
Retrospective Case

ABSTRACT Background: Cerebral venous thrombosis (CVT) is a very uncommon disorder with a wide variety of clinical manifestations. There are few studies describing the clinical and epidemiological profile of CVT in peripheral or rural areas. Over the last decades, the frequency in which this disease is diagnosed has increased due to greater awareness and availability of noninvasive diagnostic techniques. Materials and Methods: A hospital-based retrospective case review of adult (≥15 years) patients with CVT between 2001 and 2012 is described. 31 patients with confirmed imagiological diagnosis of CVT were included. Statistical Analysis Used: Statistical analysis was performed using R version 2.15.2. Incidence rate was computed as number of new cases by time. Confidence interval (CI) was set at 95% and P < 0.05 was considered significant. Results: The average annual incidence was 0.84 (CI: 0.58–1.18) to 0.73 (CI: 0.5–1.02) per 100 000 cases for adult population. There were 23 (74%) women and 8 (26%) men. Predominant initial manifestations were headache, followed by altered mental status and seizures. Median diagnostic delay from onset of illness was 8 days. All patients were treated with unfractionated heparin or low-molecular heparin followed by warfarin. Complete recovery occurred in the majority of cases 22 (78.6%) but two patients died during hospitalization. Conclusions: Albeit with some particularities, the epidemiology and clinical manifestations we found are comparable to what has been reported in western studies.

Cerebral Venous Thrombosis

2022 ◽  
pp. 113-119
Author(s):  
Ozcan Demetgul
Keyword(s):  
Venous Thrombosis ◽  
Cerebral Venous Thrombosis ◽  
Clinical Symptoms ◽  
Rare Condition ◽  
Epileptic Seizures ◽  
Lateral Sinus ◽  
Younger Adults ◽  
Sagittal Sinus ◽  
Vital Functions ◽  
Visual Problems

Cerebral venous thrombosis (CVT) is a rare condition involving various symptoms that is mainly seen in younger adults. The most commonly involved are the superior sagittal sinus, lateral sinus, and simoid sinus. About 1% of all ischemic strokes are considered CVT. It is seen 3-fold more in young women. The incidence was estimated to be approx. 1/1000000. Cerebral venous sinuses are superficial and deep spaces, and they have vital functions. There are many symptoms. The most common complaint is headache (89%). Studies reported many different clinical symptoms. Neurological signs including motor and sensorial losses, impaired consciousness, speech disorder, epileptic seizures, visual problems (hemianopia, nystagmus, diplopia, and papilledema), and cranial nerve signs may be seen. The diagnosis is made primarily by suspecting the clinical condition and radiological presentation of thrombosis. The most basic diagnostic method is cranial imaging. Anticoagulants are the main method of treatment. The prognosis has improved over the last years thanks to early diagnosis.

scholarly journals Spontaneous occult intracranial hypotension precipitating life-threatening cerebral venous thrombosis: case report

2018 ◽  
Vol 28 (6) ◽  
pp. 669-678 ◽  
Author(s):  
Avital Perry ◽  
Christopher S. Graffeo ◽  
Waleed Brinjikji ◽  
William R. Copeland ◽  
Alejandro A. Rabinstein ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Cerebral Venous Thrombosis ◽  
Intracranial Hypotension ◽  
Primary Repair ◽  
Rare Complication ◽  
External Ventricular Drain ◽  
Spontaneous Intracranial Hypotension ◽  
Mass Effect ◽  
Complete Recovery ◽  
Csf Leak

Spontaneous intracranial hypotension (SIH) is an uncommon headache etiology, typically attributable to an unprovoked occult spinal CSF leak. Although frequently benign, serious complications may occur, including cerebral venous thrombosis (CVT). The objective of this study was to examine a highly complicated case of CVT attributable to SIH as a lens for understanding the heterogeneous literature on this rare complication, and to provide useful, evidence-based, preliminary clinical recommendations. A 43-year-old man presented with 1 week of headache, dizziness, and nausea, which precipitously evolved to hemiplegia. CT venography confirmed CVT, and therapeutic heparin was initiated. He suffered a generalized seizure due to left parietal hemorrhage, which subsequently expanded. He developed signs of mass effect and herniation, heparin was discontinued, and he was taken to the operating room for clot evacuation and external ventricular drain placement. Intraoperatively, the dura was deflated, suggesting underlying SIH. Ventral T-1 CSF leak was identified, which failed multiple epidural blood patches and required primary repair. The patient ultimately made a complete recovery. Systematic review identified 29 publications describing 36 cases of SIH-associated CVT. Among 31 patients for whom long-term neurological outcome was reported, 25 (81%) recovered completely. Underlying coagulopathy/risk factors were identified in 11 patients (31%). CVT is a rare and potentially lethal sequela occurring in 2% of SIH cases. Awareness of the condition is poor, risking morbid complications. Evaluation and treatment should be directed toward identification and treatment of occult CSF leaks. Encouragingly, good neurological outcomes can be achieved through vigilant multidisciplinary neurosurgical and neurocritical care.

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