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Headache Patterns in Cerebral Venous Sinus Thrombosis.
Ragasudha Botta1, Sheshagiri Donirpathi2, Ravi Yadav2
1Department of Clinical Neurosciences, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Journal of Neurosciences in Rural Practice
|September 23, 2017
Summary
Headache characteristics, including holocranial and bifrontal patterns of increasing severity, may indicate cerebral venous sinus thrombosis (CVT). This finding aids in diagnosing conscious CVT patients.
Area of Science:
- Neurology
- Vascular Medicine
- Diagnostic Imaging
Background:
- Cerebral venous sinus thrombosis (CVT) is a rare but serious condition.
- Headache is a primary symptom in CVT, but its specific characteristics are not fully understood.
- Early diagnosis of CVT is crucial for effective management and improved patient outcomes.
Purpose of the Study:
- To investigate the clinical features, patterns, and associated factors of headache in patients diagnosed with CVT.
- To identify potential headache markers that could aid in the clinical diagnosis of CVT.
Main Methods:
- A prospective cohort study involving conscious patients diagnosed with CVT.
- Data collection included headache characteristics, severity (Visual Analog Scale - VAS), imaging findings, and patient outcomes.
- Diagnosis of CVT was confirmed through clinical and imaging parameters.
Main Results:
- Forty-seven patients (mean age 29.7 years) were included.
- Headache characteristics varied: 51.1% acute onset, 36.2% holocranial, 27.7% frontal, 44.7% throbbing.
- Commonly involved sinuses included the superior sagittal and transverse sinuses.
- Associated prothrombotic factors included anemia (55.3%), puerperal state (38.3%), and hyperhomocysteinemia (29.8%).
Conclusions:
- Holocranial and bifrontal headaches, particularly those of increasing severity, may serve as significant clinical indicators for CVT.
- These headache patterns can assist clinicians in identifying conscious patients with CVT, potentially leading to earlier diagnosis and treatment.
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