CLINICAL PROFILE, RISK FACTORS AND OUTCOMES IN PATIENTS WITH CEREBRAL VENOUS THROMBOSIS: A STUDY FROM SOUTH TELANGANA, INDIA

Abstract

BACKGROUND: Cerebral venous and sinus thrombosis is not a rare disease in India and abroad. The present study was undertaken to various clinical and radiological manifestations of the same. METHODS AND MATERIALS: A total 100 patients admitted to SVS Medical college and hospital, Mahabubnagar between September 2013 to September 2020 with a conrmed diagnosis of cerebral venous thrombosis were studied in this study. Detailed clinical examination along with basic investigations including CT/MRI brain and MRV/CTV in all. RESULTS: Headache and seizures are the most common ndings followed by paresis and fever. Alcohol addiction and tobacco consumption were found to be present in 53 and 56% of cases followed by iron deciency in 45, hypertension in 35, pregnancy related cases were only 18. Steroid abuse and hypothyroidism were noted in 18 and 16 instances while evidence of infection was noted in a dozen patients. Cerebral imaging (CT/MRI) revealed venous infarction hemorrhagic or non-hemorrhagic in 67 patients and isolated CVT without infarction in 21 patients. Infarctions were unilateral in 56 patients. Superior Sagittal Sinus in combination with other deep venous sinuses was seen in 54 percent of this study. CONCLUSION: CVST presents in young and equal in frequency in males and females. Headache, seizures are more frequent symptoms. Addiction with alcohol and tobacco are the more frequent risk factors followed by Iron deciency anemia and hypertension. SSS was the most common site of venous sinus thrombosis.