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Published on: July 4, 2021
Clinical characteristics of cerebral venous thrombosis in a single center in Korea
Dong Sun Park1, Chang Taek Moon1, Young Il Chun1
1Department of Neurosurgery, Konkuk University Medical Center, Seoul, Korea.
Insights
This study on cerebral venous thrombosis (CVT) in Korea found it more common in men, with prothrombotic conditions being the leading cause. Hemorrhagic infarction was significantly linked to prothrombotic factors.
Area of Science:
- Neurology
- Vascular Medicine
- Thrombosis Research
Background:
- Cerebral venous thrombosis (CVT) is a rare but serious condition with variable clinical presentations.
- Understanding the specific characteristics of CVT in different populations is crucial for diagnosis and management.
Purpose of the Study:
- To investigate the clinical features of cerebral venous thrombosis (CVT) in a Korean single-center cohort.
- To compare these findings with international CVT studies.
Main Methods:
- Retrospective analysis of 36 patients diagnosed with CVT between August 2005 and May 2013.
- Data collected included demographics, disease stage, pathogenesis, location, laboratory and radiological findings, and treatments.
- Comparison of results with existing literature from Europe and America.
Main Results:
- The study included 21 men and 15 women, with a mean age of 46.9 years.
- Prothrombotic conditions were the most frequent cause (22.2%).
- Hemorrhagic infarction occurred in 36.1% of patients, with higher proportions in cortical and deep venous thrombosis, and significantly in the prothrombotic group (p=0.016).
Conclusions:
- Cerebral venous thrombosis in this Korean cohort was more prevalent in men, with a peak incidence in the sixth decade.
- Prothrombotic conditions were the primary identified cause.
- Findings suggest potential demographic and etiological differences compared to Western populations, particularly regarding gender prevalence and hemorrhagic infarction association.
Objective:
The purpose of this study is to investigate the clinical characteristics of cerebral venous thrombosis (CVT) in a single center in Korea.
Methods:
A total of 36 patients were diagnosed with CVT from August 2005 to May 2013. The patient data regarding age, sex, disease stage, pathogenesis, location, laboratory findings, radiological findings, and treatment modalities were retrospectively collected. The results were compared with those of previous studies in other countries.
Results:
The patient group comprised 21 men and 15 women with a mean age of 46.9 years (ranging from three months to 77 years). The most common cause was a prothrombotic condition (8 patients, 22.2%). Within the patient group, 13 patients (36.1%) had a hemorrhagic infarction, whereas 23 (63.9%) had a venous infarction without hemorrhage. By location, the incidence of hemorrhagic infarction was the highest in the group with a transverse and/or sigmoid sinus thrombosis (n=9); however, the proportion of hemorrhagic infarction was higher in the cortical venous thrombosis group (75%) and the deep venous thrombosis group (100%). By pathogenesis, the incidence of hemorrhagic infarction was the highest in the prothrombotic group (n=6), which was statistically significant (p=0.016).
Conclusion:
According to this study, CVT was more prevalent in men, and the peak age group comprised patients in the sixth decade. The most common cause was a prothrombotic condition. This finding was comparable with reports from Europe or America, in which CVT was more common in younger women. Hemorrhagic infarction was more common in the prothrombotic group (p=0.016) than in the non-prothrombotic group in this study.
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