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Cerebral Venous Thrombosis: Analysis of Sixteen Cases

Year 2009, Volume: 11 Issue: 1, 32 - 37, 01.03.2009

Abstract

Aim: Cerebral Venous Thrombosis occurs less frequently in comparison to the arterial diseases of the brain. The diagnosis can only be made through imaging techniques and its mortality and morbidity is relatively high. Material and Methods: The etiological, topographic and clinical features were reviewed in the 16 patients (7 female, 9 male) accepted to our hospital between 2004 and 2008 with a diagnosis of Cerebral Venous Thrombosis. Results: Fourteen of the patients complained from headache. Six patients had findings intracranial hypertension, 4 had focal neurological findings, 4 had seizures 2 of which were generalized status epilepticus, 2 had a history of craniocerebral trauma, on initial presentation 2 had confusion, 1 had sensory findings and 1 patient had fever and skin findings. Two patient presented in the postpartum period, 2 patients had a history of oral contraceptive use; 4 had a neighboring infectious area. Two had homocysteinemia and 1 patient had thrombositosis and 1 had Behcet disease. In five patients, one than one sinus was obstructed, in 2 of those venous infarcts was present. Fifteen patients eventually ended with no pathological finding. The most frequent etiological factor was infection and the most frequent finding was intracranial hypertension . Conclusion: In this study appropriate treatment options are emphasized. diagnosis of Cerebral Venous Thrombosis and the importance of

References

  • Towbin A. The syndrome of latent cerebral venous thrombosis: its frequency and relation to age and congestive heart failure. Stroke. (3): 419–30, 1973.
  • Daif A, Awada A, Al-Rajeh S, et al. Cerebral venous thrombosis in adults. A study of 40 cases from Saudi Arabia. Stroke. 26(7): –5, 1995.
  • Ferro JM, Lopes MG, Rosas MJ, et al. Long-Term Prognosis of Cerebral Vein and Dural Sinus Thrombosis. Results Of The Venoport Study. Cerebrovasc Dis. 13(4): 272– , 2002.
  • Tıraş R, Hakyemez HA, Öztürk O, Meral H, Çetin S, Yayla V, Özer F. Serebral Venöz Tromboz 14 Hastalık Retrospektif Çalışma. Türk Serebrovasküler Hastalıklar Dergisi. 13: ; 51–4, 2007
  • Leker R.R, Steiner I. Isolated intracranial hypertension as the only sign of cerebral venous thrombosis. Neurology. 54: 2030, 2000
  • Buccino G, Scoditti U, Patteri I. Neurological and Cognitive Long Term Outcome in patients with Cerebral Venous Sinus Thrombosis. Acta Neurologica Scandinavica. 107(5): 330, 2003.
  • Turhan V, Senol MG, Sonmez G, et al. Cerebral venous thrombosis as a complication of leptospirosis. Journal of Infection. 53: 247– , 2006.
  • Ayanzen RH, Bird CR, Keller PJ, et al. Cerebral MR venography: normal anatomy and potential diagnostic pitfalls. AJNR Am J Neuroradiol. 21(1): 74–8, 2000.
  • Renowden S. Cerebral venous sinus thrombosis. Eur Radiol. 14: 215–26, 2004.
  • Einhaupl KM, Villringer A, Meister W, et al. Heparin treatment in sinus venous thrombosis. Lancet. 338(8767): 597–600
  • S. F. T. M. de Bruijn, J. Stam for the Cerebral Venous Sinus Thrombosis Study Group. Randomized, Placebo-Controlled Trial of Anticoagulant Treatment With Low- Molecular-Weight Heparin for Cerebral Sinus Thrombosis. Stroke. 30: 484–8, 1999.
  • Öztürk V. Serebral Venöz Tromboz. Journal of Neurological Sciences [Turkish]. (1); 5-6, 2007

Serebral Venöz Tromboz: 16 Olgunun İncelenmesi

Year 2009, Volume: 11 Issue: 1, 32 - 37, 01.03.2009

Abstract

Giriş: Serebral Venöz Tromboz beynin arteryel hastalıklarına oranla nadir görülür, tanı ancak görüntüleme tetkikleriyle ortaya konabilir ve morbiditesi oldukça yüksektir. Gereç ve Yöntem: 2004–2008 yılları arasında kliniğimize yatırılan Serebral Venöz Tromboz tanısı almış 7’si kadın, 16 hastanın etyolojik, topografik ve klinik özellikleri değerlendirildi. Bulgular: Hastaların 14’u baş ağrısından yakınıyordu. Kafa içi basınç artısı bulguları 6, fokal nörolojik bulgu 4, ikisi jeneralize status epileptikus olmak üzere nöbet 4, kafa travması 2, konfüzyon 1, duysal belirtiler 1, ateş ve deri döküntüsü 1 hastada vardı. İki hasta postpartum dönemde hastalanmıştı, 3 hastada oral kontraseptif kullanımı, 4 hastada ise komşu bir enfeksiyöz odak vardı. Hastaların ikisinde ise homosisteinemi, birisinde trombositoz, birisinde Behçet hastalığı saptandı. Beş hastada birden çok sinuste tıkanma olduğu, bunların ikisinde venöz enfarkt geliştiği görüldü. Onbeş hasta klinikten patolojik bulgusu olmaksızın çıkarıldı. En sık intrakranial hipertansiyon bulguları, neden olarak da enfeksiyon nedenlerini gözlemledik. Tartışma: Bu çalışmada Serebral Venöz Tromboz’un tanısı, uygun tetkik ve tedavi seçeneklerinin önemi üzerinde duruldu

References

  • Towbin A. The syndrome of latent cerebral venous thrombosis: its frequency and relation to age and congestive heart failure. Stroke. (3): 419–30, 1973.
  • Daif A, Awada A, Al-Rajeh S, et al. Cerebral venous thrombosis in adults. A study of 40 cases from Saudi Arabia. Stroke. 26(7): –5, 1995.
  • Ferro JM, Lopes MG, Rosas MJ, et al. Long-Term Prognosis of Cerebral Vein and Dural Sinus Thrombosis. Results Of The Venoport Study. Cerebrovasc Dis. 13(4): 272– , 2002.
  • Tıraş R, Hakyemez HA, Öztürk O, Meral H, Çetin S, Yayla V, Özer F. Serebral Venöz Tromboz 14 Hastalık Retrospektif Çalışma. Türk Serebrovasküler Hastalıklar Dergisi. 13: ; 51–4, 2007
  • Leker R.R, Steiner I. Isolated intracranial hypertension as the only sign of cerebral venous thrombosis. Neurology. 54: 2030, 2000
  • Buccino G, Scoditti U, Patteri I. Neurological and Cognitive Long Term Outcome in patients with Cerebral Venous Sinus Thrombosis. Acta Neurologica Scandinavica. 107(5): 330, 2003.
  • Turhan V, Senol MG, Sonmez G, et al. Cerebral venous thrombosis as a complication of leptospirosis. Journal of Infection. 53: 247– , 2006.
  • Ayanzen RH, Bird CR, Keller PJ, et al. Cerebral MR venography: normal anatomy and potential diagnostic pitfalls. AJNR Am J Neuroradiol. 21(1): 74–8, 2000.
  • Renowden S. Cerebral venous sinus thrombosis. Eur Radiol. 14: 215–26, 2004.
  • Einhaupl KM, Villringer A, Meister W, et al. Heparin treatment in sinus venous thrombosis. Lancet. 338(8767): 597–600
  • S. F. T. M. de Bruijn, J. Stam for the Cerebral Venous Sinus Thrombosis Study Group. Randomized, Placebo-Controlled Trial of Anticoagulant Treatment With Low- Molecular-Weight Heparin for Cerebral Sinus Thrombosis. Stroke. 30: 484–8, 1999.
  • Öztürk V. Serebral Venöz Tromboz. Journal of Neurological Sciences [Turkish]. (1); 5-6, 2007
There are 12 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Mehmet Güney Şenol This is me

Erdem Toğrol This is me

Tayfun Kaşıkçı This is me

Hakan Tekeli This is me

Fatih Özdağ This is me

Mehmet Saraçoğlu This is me

Publication Date March 1, 2009
Published in Issue Year 2009 Volume: 11 Issue: 1

Cite

APA Şenol, M. G., Toğrol, E., Kaşıkçı, T., Tekeli, H., et al. (2009). Serebral Venöz Tromboz: 16 Olgunun İncelenmesi. Duzce Medical Journal, 11(1), 32-37.
AMA Şenol MG, Toğrol E, Kaşıkçı T, Tekeli H, Özdağ F, Saraçoğlu M. Serebral Venöz Tromboz: 16 Olgunun İncelenmesi. Duzce Med J. March 2009;11(1):32-37.
Chicago Şenol, Mehmet Güney, Erdem Toğrol, Tayfun Kaşıkçı, Hakan Tekeli, Fatih Özdağ, and Mehmet Saraçoğlu. “Serebral Venöz Tromboz: 16 Olgunun İncelenmesi”. Duzce Medical Journal 11, no. 1 (March 2009): 32-37.
EndNote Şenol MG, Toğrol E, Kaşıkçı T, Tekeli H, Özdağ F, Saraçoğlu M (March 1, 2009) Serebral Venöz Tromboz: 16 Olgunun İncelenmesi. Duzce Medical Journal 11 1 32–37.
IEEE M. G. Şenol, E. Toğrol, T. Kaşıkçı, H. Tekeli, F. Özdağ, and M. Saraçoğlu, “Serebral Venöz Tromboz: 16 Olgunun İncelenmesi”, Duzce Med J, vol. 11, no. 1, pp. 32–37, 2009.
ISNAD Şenol, Mehmet Güney et al. “Serebral Venöz Tromboz: 16 Olgunun İncelenmesi”. Duzce Medical Journal 11/1 (March 2009), 32-37.
JAMA Şenol MG, Toğrol E, Kaşıkçı T, Tekeli H, Özdağ F, Saraçoğlu M. Serebral Venöz Tromboz: 16 Olgunun İncelenmesi. Duzce Med J. 2009;11:32–37.
MLA Şenol, Mehmet Güney et al. “Serebral Venöz Tromboz: 16 Olgunun İncelenmesi”. Duzce Medical Journal, vol. 11, no. 1, 2009, pp. 32-37.
Vancouver Şenol MG, Toğrol E, Kaşıkçı T, Tekeli H, Özdağ F, Saraçoğlu M. Serebral Venöz Tromboz: 16 Olgunun İncelenmesi. Duzce Med J. 2009;11(1):32-7.