A rare stroke: Cerebral Venous-Sinus Thrombosis; A Case Series Analysis Presented to Emergency Department and Review of the Literature

Abstract

ABSTRACT 
 Cerebral venous sinus thrombosis (CVST) is a rare but acute and life-threatening disease. In this study, we present a case series of 10 patients with CSVT diagnosed in the emergency department of a tertiary hospital. Demographic characteristics, CVST etiologies, diagnostic characteristics in their history, radiological signs and prognosis were recorded during their hospitalization. The median age of the patients was 32 years. Half of the patients were women. It was known that three patients had otitis media, and the other three patients had pregnancy, puerperium and hormonal contraceptives. One patient had chronic inflammatory disease and one patient had idiopathic thrombosis. All but one of the patients had headache. The diagnostic tool was magnetic resonance venography and all patients had transverse sinus occlusion. All patients received anticoagulant treatment in the neurology department, 9 patients were discharged with good recovery, 1 patient died. Emergency clinicians should be more careful, especially in young patients and patients with thrombotic risk factors. Hormonal contraceptives are a major preventable risk factor. However, pregnancy and the postpartum period are thrombotic risk factors on their own. Intracranial infections such as otitis media may spread and cause cerebral vein thrombosis. Magnetic resonance venography is the most successful diagnostic tool for SSVT.