Evaluation of Clinical, Radiological, and Demographic Characteristics of Juxtacortical Hemorrhages in Cerebral Venous Thrombosis

Dinç, Yasemin; Özpar, Rıfat; Bakar, Mustafa; Hakyemez, Bahattin

doi:10.4274/tnd.2021.32067

Cited by 2 publications

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“… 15 A later study has found that small juxtacortical hemorrhages are associated with superior sagittal sinus thrombosis and cortical vein thrombosis. 16 Cortical veins drain the brain parenchyma and carry the blood to the venous sinuses. Consequently, in their occlusion, the rise in intravascular hydrostatic pressure ruptures the intracortical region, causing small juxtacortical hemorrhages.…”

Section: Discussionmentioning

confidence: 99%

“…The reason behind this relationship could be the disruption of the blood–brain barrier and the rapid increase in vasogenic edema after the occurrence of small juxtacortical hemorrhage. 16 21 22 Another variable that was determined as an independent risk factor for intracranial herniation in this study was the venous collateral score. Since the brain parenchyma's drainage is impaired in the most distal part of a cortical vein thrombosis, a parenchymal lesion is likely to occur.…”

Section: Discussionmentioning

confidence: 99%

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Identifying the risk factors for intracranial herniation in patients with cerebral venous thrombosis

et al. 2023

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Background Cerebral venous sinus thrombosis (CVST) is not as well understood as an ischemic stroke of arterial origin. Although the prognosis of CVST is usually good, parenchymal lesions may occur in some patients, and the development of intracranial herniation may result in death. For this reason, recognizing the risk factors for intracranial herniation and accurately determining those patients who should undergo decompressive craniectomy is important. Objective This study aims to determine the risk factors for intracranial herniation in patients with CVST. Methods A total of 177 patients diagnosed with CVST between 2015 and 2021 in our tertiary center were retrospectively included in this study. Results Of the 177 patients, 124 were female and 53 were male with mean ages of 40.65 ± 13.23 and 44.13 ± 17.09, respectively. Among those, 18 patients had developed intracranial herniation. A significant statistical relationship was observed between superior sagittal sinus thrombosis, sinus rectus thrombosis, venous collateral score, nonhemorrhagic venous infarct, presence of malignancy, small juxtacortical hemorrhage, and cortical vein thrombosis. The binary logistic regression analysis results showed that the most significant variables were the venous collateral score of 0, malignancy, and small juxtacortical hemorrhages. Conclusion This study identified small juxtacortical hemorrhages, the presence of malignancy, and a venous collateral score of 0 to be independent risk factors for intracranial herniation in CVST patients. Drawing on these results, we recommend close clinical observation of CVST patients, as they may be candidates for decompressive craniectomy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Identifying the risk factors for intracranial herniation in patients with cerebral venous thrombosis

et al. 2023

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Evaluation of risk factors and clinical and radiological characteristics in cortical vein thrombosis accompanying cerebral venous sinus thrombosis

Dinç,

Ozpar,

Hakyemez

et al. 2024

Turk J Neurol

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Objectives: The study aimed to determine the clinical relevance of cortical vein thrombosis (CVT) accompanying cerebral venous sinus thrombosis (CVST) and to investigate the risk factors. Patients and methods: This retrospective study included 176 patients (52 males, 124 females; mean age: 41.8±14.5 years; range, 16 to 72 years) with CVST between January 2015 and January 2021. The radiological, demographic, and clinical features and risk factors of patients with and without CVT were com-pared. Results: When the clinical demographic and radiological features associated with CVT were evaluated; there was a significant relationship between age, clinical onset symptom, connective tissue disease, post-partum period, presence of hypercoagulopathy, superior sagittal sinus (SSS) thrombosis, transverse sinus thrombosis, sigmoid sinus thrombosis, non-hemorrhagic venous infarct, small juxtacortical hemorrhage and large parenchymal hematomas, time to diagnosis (days), and poor clinical outcome. When significant risk factors for CVT were analyzed by binary logistic regression, the post-partum period and SSS thrombosis were independent risk factors. Conclusion: In this study, the rate of CVT accompanying CVST was 30.7%, which is higher than the studies in the literature. Cortical vein thrombosis accompanying CVST is associated with parenchymal lesions and poor clinical outcome; SSS thrombosis and the postpartum period are independent risk factors. Multicenter prospective studies are recommended for more precise information.

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Evaluation of Clinical, Radiological, and Demographic Characteristics of Juxtacortical Hemorrhages in Cerebral Venous Thrombosis

Cited by 2 publications

References 0 publications

Identifying the risk factors for intracranial herniation in patients with cerebral venous thrombosis

Identifying the risk factors for intracranial herniation in patients with cerebral venous thrombosis

Evaluation of risk factors and clinical and radiological characteristics in cortical vein thrombosis accompanying cerebral venous sinus thrombosis

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