Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2018 | Month : August | Volume : 12 | Issue : 8 | Page : OC13 - OC16

Clinical Profile, Neuroimaging Features and Aetiology of Cerebral Venous Thrombosis in a Tertiary Care Centre in Southern India

Joe James, Sajeeth Kumar Keeriyatt Govindan, James Jose

1. Senior Resident, Department of Neurology, Government Medical College Kozhikode, Kozhikode, Kerala, India 2. Professor, Department of Internal Medicine, Government Medical College Kozhikode, Kozhikode, Kerala, India 3. Professor and Head, Department of Neurology, Government Medical College Kozhikode, Kozhikode, Kerala, India

Correspondence Address :
Dr. Joe James
Njaralakatt House, Pottangadi Road, West Nadakkav, Kozhikode-673011, Kozhikode, Kerala, India
E-mail : drjoejames@gmail.com

Abstract

Introduction: Cerebral Venous Thrombosis (CVT) refers to thrombus formation within the venous sinuses draining the brain and represents 0.5% to 3% of all stroke types. The clinical presentation and aetiology varies widely among different populations. A systematic study of CVT is lacking from Kerala.

Aim: To study the clinical profile, neuroimaging features and the aetiology of CVT presenting to a tertiary care teaching centre in northern Kerala. Materials and Methods: During the one-year study period (June 2015 to June 2016), consecutive cases admitted to the departments of Internal medicine and Neurology, Government Medical College Kozhikode, Kerala, who had CVT on Magnetic Resonance Venography (MRV) were included in the study. A detailed history, physical and neurological examination and aetiological work up was done in all cases.

Results: Of the total 35 cases included in the study, 21 (60%) were females and 14 (40%) were males. The mean age of onset was 32.715.5 years. The common presenting features were headache in 28 (80%), vomiting 15 (42.9%), generalised seizures 12 (34.3%), visual abnormality 11 (31.43%) and altered sensorium 9 (25.7%). Focal neurological deficits were seen in 10 patients (28.6%). Computed Tomography (CT) brain was done in 27 patients and was abnormal in 24 (88.9%). Superior sagittal sinus 24 (68.6%) and transverse sinus 14 (40%) were the common sinuses involved. The most common aetiology was polycythemia 5 (14.3%) and drugs 5 (14.3%) followed by thrombophilia 4 (11.4%).

Conclusion: CVT presents with a wide variety of symptoms and hence diagnosis requires a strong clinical suspicion. Neurogenic fever, previously unreported in CVT, was present in some cases. Superior sagittal sinus was the most common sinus involved. Polycythemia, drugs and inherited thrombophilia were the common risk factors.

Keywords

Idiopathic intracranial hypertension, Neurogenic fever, Stroke, Thunderclap headache

How to cite this article :

Joe James, Sajeeth Kumar Keeriyatt Govindan, James Jose. CLINICAL PROFILE, NEUROIMAGING FEATURES AND AETIOLOGY OF CEREBRAL VENOUS THROMBOSIS IN A TERTIARY CARE CENTRE IN SOUTHERN INDIA. Journal of Clinical and Diagnostic Research [serial online] 2018 August [cited: 2018 Jul 22 ]; 12:OC13-OC16. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=August&volume=12&issue=8&page=OC13-OC16&id=11890

DOI and Others

DOI: 10.7860/JCDR/2018/34754.11890

Date of Submission: Nov 11, 2017
Date of Peer Review: Feb 08, 2018
Date of Acceptance: Apr 19, 2018
Date of Publishing: Aug 01, 2018

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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