Tehran University of Medical Sciences, Sina Hospital, Tehran, Iran.
Acta Neurol Belg. 2010 Sep;110(3):230-3.
The present study was designed to describe the characteristics, risk factors and prognosis of patients diagnosed with CVT in our center.
The present retrospective cross-sectional study was conducted on patients diagnosed with cerebral vein or sinus thrombosis based on the patients' clinical presentation and the findings of the imaging studies between 2003 and 2008. The patients were studied for possible risk factors and the resultant outcome after terminating the therapeutic course.
Headache, the most common symptom reported in 80% of the cases, was considered the first symptom in only 46% of these patients. Coma, focal motor deficit at presentation, hemorrhagic conversion of infarction and thrombosis in more than one sinus were factors associated with unfavorable outcome in these patients.
Physicians should always have CVT in mind while examining patients particularly women on pills who complain about headache. More studies however are needed to point out more specific presentations which would lead to the early diagnosis of CVT in the patients.
本研究旨在描述我们中心诊断为 CVT 的患者的特征、风险因素和预后。
本回顾性横断面研究对 2003 年至 2008 年间根据患者临床表现和影像学检查结果诊断为脑静脉或静脉窦血栓形成的患者进行了研究。研究了患者的可能风险因素以及治疗结束后的结果。
头痛是最常见的症状，在 80%的病例中报告，但在这些患者中只有 46%被认为是首发症状。昏迷、发病时局灶性运动障碍、梗死出血转化和多个窦血栓形成是这些患者预后不良的相关因素。
医生在检查特别是服用避孕药且主诉头痛的女性患者时，应始终考虑到 CVT。然而，需要进一步的研究来指出更具体的表现，从而使 CVT 在患者中得到早期诊断。
