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Venous Stasis and Cerebrovascular Complications in Cerebral Venous Sinus Thrombosis

Takeo Sato1, Yuka Terasawa1, Hidetaka Mitsumura1

  • 1Department of Neurology, The Jikei University School of Medicine, Tokyo, Japan.

European Neurology
|August 30, 2017
PubMed

Insights

Venous stasis, assessed using susceptibility-weighted imaging (SWI), can predict cerebrovascular complications in cerebral venous sinus thrombosis (CVST). Seizures are a key early symptom indicating these complications.

Area of Science:

  • Neurology
  • Radiology
  • Vascular Medicine

Background:

  • Cerebral venous sinus thrombosis (CVST) presents controversial factors contributing to cerebrovascular complications.
  • This study investigates the role of venous stasis in predicting these complications.

Purpose of the Study:

  • To determine the relationship between venous stasis and cerebrovascular complications in CVST patients.
  • To establish venous stasis as a predictive marker for adverse outcomes in CVST.

Main Methods:

  • Retrospective analysis of 52 CVST patients (June 2013-October 2016).
  • Venous stasis quantified using the "CVST SWI score" based on susceptibility-weighted imaging (SWI).
  • Cerebrovascular complications included venous infarction, intracerebral hemorrhage, and subarachnoid hemorrhage.

Main Results:

  • Patients with cerebrovascular complications had significantly higher CVST SWI scores (3.0 vs. 0, p=0.010).
  • All patients experiencing complications presented with seizures, unlike those without complications (p=0.018).
  • A CVST SWI score greater than 0 was associated with complications.

Conclusions:

  • Venous stasis, as evaluated by SWI, is a valuable predictor of cerebrovascular complications in CVST.
  • Seizures serve as a critical initial symptom suggesting the presence of cerebrovascular complications in CVST.
Abstract

Keywords:
Cerebral venous thrombosisComplicationsMagnetic resonance imagingSeizuresSusceptibility-weighted imagingVenous stasis

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