Investigation of sinus vein thrombosis cases detected in the emergency department

Abstract

Objective: Sinus vein thrombosis often presents to the emergency department with headache and is a rare disease among all strokes. Epidemiological data on sinus vein thrombosis are insufficient. Our aim in this study is to examine the findings of patients with sinus vein thrombosis who applied to our emergency department. Material and Method: 267 patients with suspected sinus vein thrombosis in patients who came to our emergency department between 2013-2018 were included in the study. Patients were divided into 2 groups as present and without sinus vein thrombosis. Women were divided into 3 subgroups as not pregnant, pregnant and postpartum period. Demographic data, comorbid diseases, hemogram parameters and radiological data of the patients were recorded in a form. The relationship of the data with sinus vein thrombosis was examined. Results: Sinus vein thrombosis was detected in 19.48% of the patients. 76.3% of the patients were women. 65.4% of them were between the ages of 18-40. The most common complaint was headache with 51.9%. And most of the patients’ neurological examinations were normal. We found that hemoglobin <8.75 g/dL increased mortality and mean platelet volume was more effective in predicting mortality (AUC=0.846). Conclusion: Sinus vein thrombosis is more common in women under 40 years of age. While headache is the most common reason for presentation, neurological examination is mostly normal. For this, magnetic resonance imaging and venography should be taken when the disease is suspected. Anemia and mean platelet volume may indicate poor prognosis.

Keywords

• Anemia
• female
• headache
• mean platelet volume (MPV)
• sinus vein thrombosis

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