Radiolo -clinical features, and outcomes of cerebral venous sinus thrombosis with using a practical score

Abstract

Background & Aim: Cerebral venous sinus thrombosis is a low-prevalence disease, it constitutes a percentage of less than 1% of all types of cerebral vascular accidents, and due to its many clinical manifestations and extensive differential diagnosis its diagnosis is a challenge and need to emergency management.

After the availability of brain MRI and increased clinical orientation, it became easier to diagnose than before, so the various radiological and clinical manifestations of cerebral venous sinus thrombosis and their prevalence in society will be addressed.

The practical scores (mRS and  CVT-GS ) will be used upon admission to assess the prognosis within the first three months.

 - Materials and Methods: A Prospective Cohort  Study, included 60 patients with cerebral venous sinus thrombosis, accepted at Damascus University Hospitals (Al-Mowasat University Hospital, Al-Assad University Hospital) from 1/1/2020 to 1/1/2021

- Results: Cerebral venous sinus thrombosis affects all age groups, but especially the yonth group with an average (33 years), and it is more common among females. The most common symptom is headache(90%) and the most affected  sinus is  the superior longitudinal sagittal(61.7%) .

The prognosis is good in the case of rapid management, but it was noted that patients who had mRS < 2  or CVT-GS2 <  had worse outcome.

Conclusions: We conclude that cerebral venous sinus thrombosis has many clinical and radiological manifestations, and the diagnosis can be confirmed using brain MRI and MRV.
A value of  mRS < 2  or CVT-GS2 < has a bad  prognostic sign .