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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
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[Cerebral venous thrombosis: Clinical and radiological features, about 62 cases]
B Alami1, S Boujraf2, L Quenum3
1Service de radiologie, faculté de médecine et de pharmacie, université Sidi Mohammed Ben Abdellah, CHU Hassan II Fès, Fès, Maroc; Laboratoire de biophysique et méthodes IRM, faculté de médecine et de pharmacie, université Sidi Mohammed Ben Abdellah, Fès, Maroc.
Journal De Medecine Vasculaire
|November 26, 2019
Summary
Cerebral venous thrombosis (CVT) diagnosis and management were reviewed in 62 patients. Cerebral MRI is the best imaging modality for diagnosing CVT, guiding treatment with heparinotherapy and addressing underlying causes.
Area of Science:
- Neurology
- Radiology
- Internal Medicine
Background:
- Cerebral venous thrombosis (CVT) is a rare but serious condition with diverse clinical presentations.
- Accurate and timely diagnosis is crucial for effective management and improved patient outcomes.
Purpose of the Study:
- To review the clinical-radiological aspects and management of cerebral venous thrombosis (CVT).
- To compare local hospital findings with existing literature on CVT.
Main Methods:
- A retrospective study of 62 adult patients diagnosed with CVT over seven years (2009-2016).
- Patients underwent brain CT and MRI scans.
- Clinical and radiological characteristics, along with treatment outcomes, were analyzed.
Main Results:
- The average patient age was 35, with a female predominance (sex ratio 3.76).
- Common symptoms included headaches, seizures, altered consciousness, and focal neurological deficits.
- The superior longitudinal sinus was the most frequently affected site (51.61%).
- Etiologies were diverse, including infectious, gynecological-obstetrical, systemic, and local factors.
- Cerebral MRI proved superior to CT in diagnosis and etiological investigation.
Conclusions:
- Cerebral MRI is the gold standard for diagnosing CVT, assessing its extent and parenchymal impact.
- CVT has multifactorial causes requiring comprehensive etiological workup.
- Treatment involves anticoagulation (heparinotherapy) and addressing the underlying cause.
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