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A Volumetric Method for Quantification of Cerebral Vasospasm in a Murine Model of Subarachnoid Hemorrhage
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Descriptive Study of Headache as the Most Common Presenting Feature of Cerebral Venous Thrombosis

Ashutosh K Mishra1, Ruchi Shukla2, Rameshwar N Chaurasia3

  • 1Department of Neurology, All India Institute of Medical Sciences, Raebareli, IND.

Cureus
|September 7, 2023
PubMed

Insights

Cerebral venous thrombosis (CVT) often presents as severe headache, with over 96% of patients experiencing this symptom. Early imaging is crucial for diagnosing CVT, especially with new-onset holocranial or hemicranial headaches.

Area of Science:

  • Neurology
  • Vascular Neurology
  • Stroke Medicine

Background:

  • Cerebral venous thrombosis (CVT) is a rare but serious form of stroke.
  • Headache is the most frequent presenting symptom in CVT, occurring in over 85% of cases.
  • Other common symptoms include seizures and focal neurological deficits.

Purpose of the Study:

  • To investigate the causes and clinical features of cerebral venous thrombosis (CVT).
  • To provide a detailed analysis of headache characteristics in CVT patients.
  • To enhance understanding of CVT presentation for improved diagnosis.

Main Methods:

  • Recruited 32 consecutive patients diagnosed with CVT.
  • Collected data on patient demographics, etiology, and clinical symptoms.
  • Detailed recording of headache features: onset, location, character, severity, aggravating/relieving factors, and sinus involvement.

Main Results:

  • 31 out of 32 patients (96.87%) presented with headache.
  • Headaches were predominantly sub-acute (67.75%), holocranial (38.71%), severe (38.7%), and throbbing (67.74%).
  • Headache worsened with bending forward, movement, coughing, and straining; relieved by lying down or sleeping.

Conclusions:

  • Cerebral venous thrombosis (CVT) should be suspected in patients with new-onset holocranial or hemicranial headaches.
  • Increasing headache intensity warrants early neuroimaging for prompt diagnosis.
  • Timely diagnosis and management are essential for favorable outcomes in CVT.
Abstract

Keywords:
cerebral venous sinuscerebral venous thrombosisheadacheneuroimagingstroke

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