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Cerebral Venous Thrombosis and Headache--A Case-Series
Marco Sparaco1, Michele Feleppa1, Marcelo E Bigal2
1Division of Neurology, Department of Neurosciences, Benevento, Italy.
Headache
|June 19, 2015
Summary
Headache is the most common symptom of Cerebral Venous Thrombosis (CVT), often presenting as the only sign. This study details headache characteristics in CVT patients, highlighting its severity and typical presentation.
Area of Science:
- Neurology
- Vascular Neurology
- Diagnostic Imaging
Background:
- Headache is a frequent symptom in Cerebral Venous Thrombosis (CVT), sometimes being the sole indicator of the condition.
- This case series focuses on characterizing the specific features of headaches experienced by CVT patients.
Purpose of the Study:
- To analyze the clinical and radiological features of Cerebral Venous Thrombosis (CVT).
- To specifically investigate and describe the characteristics of headache in patients diagnosed with CVT.
Main Methods:
- A case series of 25 adult patients diagnosed with CVT between August 2005 and December 2013.
- Diagnosis confirmed via brain magnetic resonance imaging and magnetic resonance venography.
- Systematic etiological and genetic work-up, along with a structured headache questionnaire.
Main Results:
- Headache was present in 92% of patients, often as the sole symptom (32%).
- Headaches were typically severe (82.6%), throbbing (69.5%), sudden in onset (56.5%), and non-remitting (86.9%).
- The transverse sinus was the most commonly affected sinus (96%).
Conclusions:
- Headache is the predominant symptom in Cerebral Venous Thrombosis (CVT).
- Headache can be the exclusive presentation of CVT, underscoring its diagnostic importance.
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