BACKGROUND AND PURPOSE: Analyze the relationship between the location and extent of sinus thrombosis and presence and severity of brain lesions. METHODS: Retrospective chart and neuroimaging review of patients with documented CVST. A CVST score was devised to quantify the extent of cerebral venous sinus thrombosis. RESULTS: Nineteen of 56 (34%) patients had brain lesions. The extent of sinus thrombus was associated with increased risk of brain lesions (CVST score 1.9 among patients without brain lesions versus 3.1 in those with lesions; P=0.006). Age, sex, and acquired or hereditary thrombophilias were not associated with the risk of parenchymal lesions. Functional outcomes were favorable even in patients with extensive CVST and parenchymal lesions at presentation. CONCLUSIONS: The extent of the sinus involvement correlates with the risk of brain lesions in patients with CVST, but additional factors might also contribute to their occurrence.
BACKGROUND AND PURPOSE: Analyze the relationship between the location and extent of sinus thrombosis and presence and severity of brain lesions. METHODS: Retrospective chart and neuroimaging review of patients with documented CVST. A CVST score was devised to quantify the extent of cerebral venous sinus thrombosis. RESULTS: Nineteen of 56 (34%) patients had brain lesions. The extent of sinus thrombus was associated with increased risk of brain lesions (CVST score 1.9 among patients without brain lesions versus 3.1 in those with lesions; P=0.006). Age, sex, and acquired or hereditary thrombophilias were not associated with the risk of parenchymal lesions. Functional outcomes were favorable even in patients with extensive CVST and parenchymal lesions at presentation. CONCLUSIONS: The extent of the sinus involvement correlates with the risk of brain lesions in patients with CVST, but additional factors might also contribute to their occurrence.
Authors: Lori C Jordan; Mubeen F Rafay; Sabrina E Smith; Rand Askalan; Khaled M Zamel; Gabrielle deVeber; Stephen Ashwal Journal: J Pediatr Date: 2010-02-10 Impact factor: 4.406
Authors: Dagmar Krajíčková; Jiří Král; Roman Herzig; Ľudovít Klzo; Antonín Krajina; Jaroslav Havelka; Libor Šimůnek; Oldřich Vyšata; Tran Van Quang; Michal Bar; Martin Vališ Journal: Sci Rep Date: 2020-12-10 Impact factor: 4.379