A CLINICAL PROFILE AND OUTCOME OF CEREBRAL VENOUS SINUS THROMBOSIS IN TERTIARY CARE TEACHING HOSPITAL

*Dr. P. Sankara Narayanan MD DM,

ABSTRACT

Background: Cerebral venous thrombosis (CVT) is an uncommon form of stroke, usually affecting young population. Clinical features of CVT are diverse, and for this reason, high degree of clinical suspect is mandatory to diagnose the conditions. The objectives of the study were to analyse the commonest clinical modes of presentation, possible etiologies, and to evaluate clinical outcome. Methods: This study was performed as a hospital based retrospective & prospective observational study at Tiruneveli medical college, Tiruneleveli . All the patients admitted in our hospital with thediagnosis of CVT were subjected to neuroimaging techniques, fulfilling the study criteria were recruited by simple random sampling and data collected was analyzed by correlation studies All patients hospitalized in between the period of 1 year (June 2018 to May 2019) with the final diagnosis of CVT (confirmed by imaging MRI/MRV OR angiography) to be included. All patients should above 18 years of age. Patients who were initially diagnosed as CVT, But MRV/angiogram were normal; Patients below 18years of age and known case of seizure disorder, migraine, cranial nerve palsies, and hemiplegic patients were excluded. Results: In our study, we found that CVT was more common in third decade of life. Puerperium was the common age group among female patients. In male patients, dehydration is the most common etiology. SSS thrombosis more common and involvement of more than one sinus is more common. Headache is the commonest complaint. Overall CVT had good prognosis and recanalisation was complete in most of the follow up cases. Conclusion: Suspicion and imaging were most crucial part of diagnosis. Prognosis of CVT mainly depend of early diagnosis and treatment.

Keywords: CVT- cerebral venous/sinus thrombosis, CT – computed tomography, MRI – magnetic resonance imaging.