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Cerebral venous thrombosis: continental disparities
Laith Maali1, Sheema Khan2, Fares Qeadan3
1University of Kansas Medical Center, Kansas City, KS, USA.
Summary
Cerebral venous thrombosis (CVT) shows significant global disparities in patient demographics, causes, symptoms, and outcomes. Recognizing these international differences is crucial for effective diagnosis and treatment of CVT.
Area of Science:
- Neurology
- Vascular Medicine
- Epidemiology
Background:
- Cerebral venous thrombosis (CVT) is a rare cause of stroke, accounting for less than 1% of all stroke cases.
- Global variations in CVT demographics, etiology, clinical presentation, and mortality remain underexplored.
Purpose of the Study:
- To investigate and highlight the intercontinental disparities in cerebral venous thrombosis.
- To analyze demographic, etiological, clinical, radiological, and mortality differences across continents.
Main Methods:
- Systematic literature search of PubMed using keywords: "cerebral venous thrombosis," "Cerebral vein thrombosis," and "Cortical vein Thrombosis."
- Analysis of data from 7,048 patients across 600 selected studies, categorizing cases by continent.
- Statistical analysis using frequency and relative frequency to describe patient data and identify trends.
Main Results:
- Significant intercontinental differences were observed in CVT demographics, etiology, clinical features, radiological presentation, and mortality.
- Europe reported the highest number of cases (3152), followed by Asia (2722).
- The overall male to female ratio was 1:2.2, with headache being the most common symptom and hematological factors the leading etiology.
Conclusions:
- Cerebral venous thrombosis exhibits considerable global variation, necessitating awareness among physicians worldwide.
- Understanding these continental differences is vital for optimizing diagnostic approaches and treatment strategies for improved patient outcomes.
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