Prognostic Evaluation of Cerebral Venous Sinus Thrombosis Using Clinical and Mr Sequences

Abstract

Due to diverse clinical presentation of cerebral venous thrombosis it is often under diagnosed in clinical scenarios first diagnosed by radiologist. Present study is targeted to identify etiology, risk factors, clinical presentation, radiological findings and its prognostic importance in patients with cerebral venous thrombosis (CVT). Materials and methods: Patients age ranging from 14 to 68 years with clinical suspicion of cerebral venous thrombosis was subjected to CT, MRI scan. Patients with positive radiological findings are followed upto 8 weeks. Results: in our study we have concluded that; 1. CVT incidence is not uncommon in males, 2. Though puerperium is a high risk factor for cerebral venous thrombosis, it is not always associated with poor outcome. 3. Presence of altered sensorium and focal neurological deficits at admission predicts poor outcome. 4. CT is a good first line investigation for CVT, 5. Features predictive of poor clinical outcome are Presence of parenchymal hypodense lesions in CT, deep parenchymal T2 hyperintense lesion, restriction of diffusion. Presence of altered sensorium and focal neurological deficit at admission.