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Clinical and radiological characteristics and predictors of outcome of cerebral venous sinus thrombosis, a hospital-based study.
- Source :
-
Acta neurologica Belgica [Acta Neurol Belg] 2020 Aug; Vol. 120 (4), pp. 845-852. Date of Electronic Publication: 2018 Sep 03. - Publication Year :
- 2020
-
Abstract
- Cerebral venous sinus thrombosis is an uncommon cause of stroke, which is more prevalent in Iran and the Middle East. We aimed to assess the etiology, radiologic, and clinical manifestations of cerebral venous sinus thrombosis, specifically the predictors of patients' outcome in Namazi hospital, Shiraz, Iran. In this retrospective study, we included all adult patients with the diagnosis of cerebral venous sinus thrombosis, who were admitted in hospital, from 2012 to 2016. Demographic data, radiologic findings, clinical presentation, risk factors, treatment, and outcome according to modified Rankin Scale (mRS) on discharge were assessed and the factors associated with hospital fatality and poor outcome (mRS > 2) were investigated through univariable and multivariable analyses. Adjusted odds ratio (OR), 95% confidence interval (CI), and p values were reported. Among 174 patients, 128 (73.6%) were female. The mean age was 37.8 ± 11.2. Total of 39 patients (22.4%) had poor discharge outcome and nine patients died in hospital. Older age (OR = 1.041, CI = 1.000-1.08), decreased level of consciousness (OR = 5.46, CI = 2.17-13.72), focal neurologic deficit (OR = 5.63, CI = 2.14-14.77), and expansion of intracranial hemorrhage (ICH) (OR = 9.13, CI = 1.96-42.64) were predictors of poor outcome according to the logistic regression model. Older age (p = 0.02), focal neurologic deficit (p = 0.005), deep venous system thrombosis (p = 0.002), early intracranial hemorrhage (p = 0.049), delayed hemorrhage (p = 0.007) and hemorrhage expansion (p = 0.002), infratentorial hemorrhagic lesions (p = 0.005), and higher CRP (p = 0.011) were associated with hospital fatality. The patients with gynecologic risk factors were at lower risk of hospital death (p = 0.005). Age, decreased consciousness and focal neurological deficit on admission, and expanded intracranial hemorrhage are predictors of poor outcome. The patients who are at higher risk of unfavorable outcome should be recognized and closely monitored.
- Subjects :
- Adolescent
Adult
Aged
Cerebral Veins physiopathology
Female
Hospitals
Humans
Intracranial Thrombosis complications
Iran
Male
Middle Aged
Retrospective Studies
Risk Factors
Sinus Thrombosis, Intracranial diagnostic imaging
Venous Thrombosis complications
Young Adult
Age Factors
Intracranial Hemorrhages therapy
Intracranial Thrombosis therapy
Sinus Thrombosis, Intracranial therapy
Venous Thrombosis therapy
Subjects
Details
- Language :
- English
- ISSN :
- 2240-2993
- Volume :
- 120
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Acta neurologica Belgica
- Publication Type :
- Academic Journal
- Accession number :
- 30178180
- Full Text :
- https://doi.org/10.1007/s13760-018-1009-6