Small juxtacortical hemorrhages in cerebral venous thrombosis

Coutinho, Jonathan M.; Berg, René van den; Zuurbier, Susanna M.; VanBavel, Ed; Troost, Dirk; Majoie, Charles B; Stam, Jan

doi:10.1002/ana.24180

Cited by 61 publications

(38 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There are certain characteristics of parenchymal lesions that are suggestive of CVT, including bilateral or parasagittal lesions (Fig 1 c), lesions crossing arterial territories, and juxtacortical lesions. 17 In some cases, thrombus in cerebral venous sinuses can be seen as hyperdense on plain CT (Fig 1 d). 18 CT has the advantage that a CT venography (CT-V) protocol can be easily added and reliably demonstrates occlusive disease in the major cerebral veins and sinuses (Fig 1 e).…”

Section: Radiological Diagnosis Of Cvtmentioning

confidence: 99%

Diagnosis and management of cerebral venous thrombosis

Behrouzi

Punter

2018

Clinical Medicine

View full text Add to dashboard Cite

Cerebral venous thrombosis (CVT) is rare and accounts for 0.5% of all strokes. Its clinical presentation is variable and diagnosis requires a high index of clinical suspicion in conjunction with neuroradiological diagnostic support. Treatment options are limited and are mostly based on consensus. Therefore, familiarity with international guidelines is important. Outcome is often good and most patients make a full recovery, although a small proportion suffers death or disability. Here, we describe the clinical features, risk factors, acute imaging features, management and complications of CVT.

show abstract

Section: Radiological Diagnosis Of Cvtmentioning

confidence: 99%

Diagnosis and management of cerebral venous thrombosis

Behrouzi

Punter

2018

Clinical Medicine

View full text Add to dashboard Cite

show abstract

“…Our hospital serves as a tertiary referral center for CVT cases in the Netherlands. Since July 2006, all patients with CVT are enrolled in a prospective database, as described previously [ 13 ]. We retrospectively identified patients admitted between January 1st 2000 and June 30th 2006, using the International Classification of Diseases, 9th revision and the Dutch financial coding system for hospital care [ 1 ].…”

Section: Methodsmentioning

confidence: 99%

Hydrocephalus in cerebral venous thrombosis

et al. 2015

Self Cite

View full text Add to dashboard Cite

Increased intracranial pressure is common in cerebral venous thrombosis (CVT), but hydrocephalus is rarely reported in these patients. We examined the frequency, pathophysiology and associated clinical manifestations of hydrocephalus in patients with CVT admitted to our hospital between 2000 and 2010 (prospectively since July 2006). Hydrocephalus was defined as a bicaudate index larger than the 95th percentile for age, and/or a radial width of the temporal horn of ≥5 mm. We excluded patients in whom hydrocephalus was caused by a disease other than CVT or if it was iatrogenic. 20 out of 99 patients with CVT had hydrocephalus. 6 patients with hydrocephalus were excluded from the analysis. Patients with hydrocephalus more often had focal neurological deficits (86 vs. 49 %, p = 0.02) and were more frequently comatose (43 vs. 16 %, p = 0.06), as compared to patients without hydrocephalus. Deep cerebral venous thrombosis (64 vs. 9 %, p < 0.001) and edema of the basal ganglia and thalami (64 vs. 4 %, p < 0.001) were more common in patients with hydrocephalus. Intraventricular hemorrhage was present in 1 patient with hydrocephalus, compared to none among patients without hydrocephalus (7 vs. 0 %, p = 0.15). Outcome at follow-up was worse in patients with hydrocephalus (mRS 0–1, 36 vs. 68 %, p = 0.02; mortality 29 vs. 9 %, p = 0.07). Hydrocephalus occurs more frequently in cerebral venous thrombosis than previously believed, especially in patients with deep cerebral venous thrombosis and edema of the basal ganglia. The presence of hydrocephalus is associated with a worse clinical outcome, but a direct causal relation is unlikely. Routine shunting procedures are not advisable.

show abstract

“…Recent literature shows that non-traumatic juxtacortical haemorrhage is associated with CVT. In a prospective cohort study of 114 patients with venous sinus thrombosis of whom 53 patients had cerebral haemorrhages and 14 (26%) had juxtacortical haemorrhages 3. A specificity of 0.98 (95% CI 0.95 to 1.0) was found.…”

Section: Descriptionmentioning

confidence: 96%

Small juxtacortical hemorrhages in cerebral venous thrombosis

Abstract: Small nontraumatic JCHs are a characteristic feature of CVT and are rarely encountered in other conditions.

Cited by 61 publications

References 20 publications

Diagnosis and management of cerebral venous thrombosis

Diagnosis and management of cerebral venous thrombosis

Hydrocephalus in cerebral venous thrombosis

Juxtacortical haemorrhage in cerebral venous sinus thrombosis: ‘The Cashew Nut Sign’

Contact Info

Product

Resources

About