A clinico-radiological study of deep cerebral venous thrombosis

Jayantee Kalita1, Abhishek Sachan2, Ashish K Dubey2

  • 1Department of Neurology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Raebareli, Lucknow, Uttar Pradesh, 226014, India. jayanteek@yahoo.com.

Neuroradiology
|April 25, 2022
PubMed

Insights

Isolated deep cerebral venous thrombosis (DCVT) is rare. While additional sinus thrombosis presents more severe illness and higher mortality, long-term outcomes for survivors are similar in both isolated DCVT and combined cases.

Area of Science:

  • Neurology
  • Radiology
  • Vascular Medicine

Background:

  • Deep cerebral venous thrombosis (DCVT) can occur in isolation or with concurrent sinus thrombosis.
  • Understanding the distinct clinical and radiological profiles of isolated DCVT versus DCVT with sinus involvement is crucial for patient management.

Purpose of the Study:

  • To compare the clinical and radiological findings and outcomes of patients with isolated DCVT against those with DCVT and additional sinus thrombosis.

Main Methods:

  • A cohort of 41 patients diagnosed with DCVT via MR venography was divided into two groups: isolated DCVT (Group A) and DCVT with additional sinus thrombosis (Group B).
  • Clinical features, risk factors, MRI findings, and outcomes at 1, 3, and 6 months were analyzed and compared between the groups.

Main Results:

  • Group B patients (with sinus thrombosis) exhibited a shorter illness duration, more frequent vomiting, and higher rates of papilledema.
  • While Group A (isolated DCVT) showed more frequent thalamic and basal ganglia lesions on MRI, Group B had higher mortality at 1 month.
  • Good outcomes were observed in 50% of Group A and 60.6% of Group B at 1 month, improving to 62.5% and 80.6% respectively by 3 months, with negligible further improvement.

Conclusions:

  • Isolated DCVT is an uncommon presentation.
  • The presence of additional sinus thrombosis in DCVT cases is associated with more severe clinical presentation and increased mortality.
  • Despite initial differences in severity and short-term outcomes, long-term prognoses for survivors are comparable between isolated DCVT and DCVT with sinus thrombosis.
Abstract

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