CC BY-NC-ND 4.0 · J Neurosci Rural Pract 2021; 12(03): 560-565
DOI: 10.1055/s-0041-1730109
Original Article

Deep Cerebral Venous Thrombosis—A Clinicoradiological Study

Sujana Gogineni
1  Department of Neurology, Ramaiah Medical College, Bengaluru, India
,
Dhananjay Gupta
1  Department of Neurology, Ramaiah Medical College, Bengaluru, India
,
R. Pradeep
1  Department of Neurology, Ramaiah Medical College, Bengaluru, India
,
Anish Mehta
1  Department of Neurology, Ramaiah Medical College, Bengaluru, India
,
Mahendra Javali
1  Department of Neurology, Ramaiah Medical College, Bengaluru, India
,
Purshottam T. Acharya
1  Department of Neurology, Ramaiah Medical College, Bengaluru, India
,
Rangasetty Srinivasa
1  Department of Neurology, Ramaiah Medical College, Bengaluru, India
› Author Affiliations
Funding None.

Abstract

Stroke is a common neurological emergency. Almost 80% of strokes are due to arterial occlusion. Venous thrombosis comprises less than 1–2% of all strokes. Involvement of the deep cerebral venous system is still rare and accounts for about 10.9% of all cerebral venous thromboses (CVT). CVT diagnosis is often delayed or missed, because of its variable clinical manifestations. We retrospectively (2015–18) and prospectively (2018–20) reviewed all the cases of CVT in a tertiary care center in south India. Out of a total of 52 CVT cases, 12 were due to the involvement of deep cerebral venous system. Their clinical presentation, imaging characteristics, and outcomes were assessed. The most frequent presentation was headache followed by seizures. Hyperhomocysteinemia was the most common risk factor noted. Imaging characteristics were variable, and a high index of suspicion was required for early diagnosis. All patients had favorable outcome in our study, and except one, all were treated conservatively.



Publication History

Publication Date:
16 June 2021 (online)

© 2021. Association for Helping Neurosurgical Sick People. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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