Cerebral venous thrombosis associated with pregnancy and puerperium. Review of 67 cases.

Cantú, Carlos; Barinagarrementería, Fernando

doi:10.1161/01.str.24.12.1880

Cited by 387 publications

(273 citation statements)

References 23 publications

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“…In a series of patients with cerebral venous thrombosis associated with pregnancy and the puerperium, Cantú and Barinagarrementeria identified 7 with ICH among 67 patients with cerebral venous thrombosis. 38 The functional prognosis was good in these patients and similar to that in a high percentage of patients with cerebral venous thrombosis. 39 Use of sympathomimetic drugs was related to ICH in 7 patients (3.5%).…”

Section: Discussionsupporting

confidence: 66%

Intracerebral Hemorrhage in Young People

Ruiz-Sandoval

Cantú

Barinagarrementería

1999

Stroke

193

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Background and Purpose-The frequency of intracerebral hemorrhages (ICHs) in people aged Յ40 years has been poorly studied. We investigated the incidence, causes, locations, and prognosis of ICH in young patients. Methods-We evaluated all consecutive patients with neuroimaging evidence or pathological confirmation of symptomatic ICH. We excluded patients with primary subarachnoid or traumatic hemorrhage, past evidence of vascular malformation, or brain tumor. We analyzed the risk factors, number, locations, and causes of ICH, and final outcome measured by the modified Glasgow Outcome Scale. Results-We retrospectively evaluated 200 patients (mean age, 27 years; range, 15 to 40 years). The most frequent risk factors were tobacco use (20%), hypocholesterolemia (35%), hypertension, (13%), and alcohol use (10%). The locations of ICH were lobar (55%), basal ganglia/internal capsule (22%), and others (24%). The most common causes of ICH were vascular malformations (49%), including cavernous angioma, and hypertension (11%). Cryptogenic ICH was considered in 15%. Other causes included cerebral venous thrombosis (5%) and sympathomimetic drug use (4%). The majority of patients with ICH that resulted from hypertension were aged Ͼ31 years (odds ratio, 3.48), and those with ICH that resulted from arteriovenous malformations were aged Ͻ20 years (odds ratio, 2.80). The final outcome was considered favorable in 60%. Conclusions-ICHs

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Section: Discussionsupporting

confidence: 66%

Intracerebral Hemorrhage in Young People

Ruiz-Sandoval

Cantú

Barinagarrementería

1999

Stroke

193

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“…20 Likewise, the risk of CVST is increased during the last trimester of pregnancy and during the postdelivery period. 12 Elderly patients with CVST are also a distinct group. The most common risk factors in this group are genetic and acquired prothrombotic states.…”

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confidence: 99%

Cerebral venous sinus thrombosis: review of the demographics, pathophysiology, current diagnosis, and treatment

Filippidis¹,

Kapsalaki

Patramani

et al. 2009

FOC

113

160

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Cerebral venous sinus thrombosis (CVST) is a rare clinicopathological entity. The incidence of CVST in children and neonates has been reported to be as high as 7 cases per million people, whereas in adults the incidence is 3–4 cases per million. The predisposing factors to this condition are mainly genetic and acquired prothrombotic states and infection. The clinical picture of CVST is nonspecific, highly variable, and can mimic several other clinical conditions. Diagnosis of CVST is established with the implementation of neuroimaging studies, especially MR imaging and venography. Identification and elimination of the underlying cause, anticoagulation, proper management of intracranial hypertension, and anticonvulsant prophylaxis constitute cornerstones of CVST treatment. Newer treatment strategies such as endovascular thrombolysis and decompressive craniectomy have been recently used in the treatment of patients with CVST with variable success rates. Further clinical research must be performed to delineate the exact role of these newer treatments in the management of severe cases of CVST. The recent advances in the diagnosis and treatment of patients with CVST have significantly lowered the associated mortality and morbidity and have improved the outcome of these patients.

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“…A recent meta-analysis showed that women using OCPs had an increased risk for CVST (5). Pregnancy, puerperium and OCPs usage are all GSRF for women and hormonal changes, hypercoagulability state, prothrombotic effect seem to be responsible (15,16). Also, rearrangement of maternal cardiovascular circulation is another risk for postpartum period.…”

Section: Discussionmentioning

confidence: 99%

Cerebral venous sinus thrombosis: gender differences in ten years experience

Özcan¹,

Meral²,

Özben³

et al. 2013

Dusunen Adam

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Cerebral venous sinus thrombosis: gender differences in ten years experienceObjective: Cerebral venous sinus thrombosis (CVST) is an uncommon subtype of stroke. CVST is much more common in women than men with a ratio of three to one. This women preponderance is attributed to gender-specific risk factors (GSRF). In many patients, symptoms develop over days or weeks. In some patients, clinical presentations are nonspesific. Patients and Methods: We reviewed the records of patients with CVST treated at Neurology department of Haseki Training and Research Hospital between 2001-2011, which diagnoses were confirmed with cranial magnetic resonance imaging (MRI) and magnetic resonance venography (MRV). Thirty-four patients were included the study. Women/men ratio was 3.25/1. We analyzed the demographic features, comorbid conditions, clinical presentation, neuroradiological findings. Results: Thirty-four patients were included the study. Headache was present in all patients and it was present as isolated in 47.1% (n=16) of the patients. In 52.9% (n=18) of the patients onset of the symptoms were subacute, 29.4% (n=10) chronic, 17.6 (n=6) acute. Of all patients, 76.5% (n=26) were women. Transverse sinus was the mostly affected sinus as either isolated or with the other CSVT in both groups (in 20 women and 8 men). The most common presentation symptom (43.78%) in women was headache whereas; it was intracranial hypertension (34.78%) in men. Half of our women patients with GRSF; 7 (26.92%) women were oral contraceptives user and 5 (15.38%) women were in pregnancy or puerperium period. Conclusion: We have found differences between women and men in the presentation and risk factors. Key words: Gender, risk factors, sinus thrombosis ÖZET Serebral sinus ven trombozu: On yıllık tecrübede cinsiyet farklılıklarıAmaç: Serebral sinus ven trombozu (SSVT) inmenin nadir nedenlerindendir. SSVT kadınlarda erkekleklere göre üçe bir oranında daha sık görülür. Bu kadın baskınlığı cinsiyete özgü rik faktörlerine bağlanmaktadır. Hastaların çoğunda semptomlar günler veya haftalar içinde yerleşmektedir. Bazı hastalarda klinik görünüm nonspesifik olmaktadır. Yöntem: Haseki Eğitim ve Araştırma Hastanesinde 2001-2011 yılları arasında cranial MR ve MR venografi ile tanısı doğrulanarak SSVT tedavisi almış hasta kayıtlarını inceledik. Çalışmaya otuz dört hasta dahil edildi. Kadın/ erkek oranı 3.25/1 idi. Hastaların demografik özelliklerini, komorbid durumlarını, klinik görünümlerini, nöroradyolajik bulgularını inceledik. Bulgular: Çalışmaya otuz dört hasta dahil edildi. Başağrısı hastaların %47.1'inde (n=16) izole olmak üzere tüm hastalarda mevcuttu. Semptomların başlangıcı hastaların %52.9'unda (n=18) subakut, %29.4'ünde (n=10) kronik, %17.6'sında (n=6) akut idi. Tüm hastaların %76.5'i (n=26) kadındı. Her iki cinsiyette de en sık etkilenen sinus transvers sinus olarak saptandı (20 kadın ve 8 erkek). Başvurudaki en sık semptom kadınlarda başağrısı (%43.78) iken, erkeklerde intracranial hipertansiyon (%34.78) idi. Cinsiyete özgü risk faktörü sap...

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Cerebral venous thrombosis associated with pregnancy and puerperium. Review of 67 cases.

Cited by 387 publications

References 23 publications

Intracerebral Hemorrhage in Young People

Intracerebral Hemorrhage in Young People

Cerebral venous sinus thrombosis: review of the demographics, pathophysiology, current diagnosis, and treatment

Cerebral venous sinus thrombosis: gender differences in ten years experience

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