A study of clinico-radiological and management profile of cerebral venous sinus thrombosis
Dr. Shashank Telang, Dr Sharad Garudkar, Dr Arun Tyagi
Cerebral Venous Sinus Thrombosis (CVST) and Cortical Venous Thrombosis (CVT) is an uncommon form of stroke, usually affecting young individuals. CVT accounts for about 1% of all cerebrovascular accidents. Despite advances in the recognition of CVT in recent years, diagnosis and management can be difficult because of the diversity of underlying risk factors, protean manifestations and the absence of a uniform treatment approach.We present a series of six cases of cortical venous sinus thrombosis studies in a tertiary care teaching hospital over a period of eighteen months. Out of the six patients studied, four patients (66.7%) were men and two (33.3%) were women. Average and median of age were respectively 39.6 and 50.5 years. The most prevalent symptom was headache, found in five of them (83.3%). The most commonly affected sinus was superior sagittal sinus (66.7%) followed by transverse sinus (50%). All patients except one were managed with anticoagulation. Five patients (83.3%) had good response to treatment with total recovery of signs and symptoms in the early phase of the treatment. Only one patient had residual cranial nerve palsy. CVST can be deceptive as it can present in various forms and confuse the clinicians. Early diagnosis and aggressive management can help in reducing the mortality and morbidity associated with it.