孟加拉国三级医院脑静脉窦血栓形成的临床相关性、病因学和影像学特征

Md Rashedul Islam, Aminur Rahman, Tanbin Rahman, Mohammad Sakhawat Hossen Khan, Dilruba Alam, R. Habib
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引用次数: 1

摘要

背景:脑窦血栓(CVST)是一种罕见的中风形式,常发生在年轻人中,临床、病因和影像学表现多种多样。该研究的目的是评估孟加拉国CVST的临床相关性、病因和影像学特征。方法:在一家三级保健医院进行了一项前瞻性观察性研究,患者于2021年1月至2023年1月期间招募。本文对38例具有脑静脉窦血栓形成(CVST)临床及影像学表现的患者进行了详细的临床评估和综合治疗。结果:平均发病年龄28.42岁,以女性为主(n = 24)。头痛是最常见的症状(92%,n = 35),其次是呕吐(52%,n = 20)。半脑轻瘫(38%;N = 14)是最常见的临床症状,其次是脑神经麻痹(26%,N = 10)。31%的病人(n = 12)激怒了CVST其中最常见原因被发现怀孕/产褥期58% (n = 7例)紧随其后(OCP 25% (n = 3)。69%的病人(n = 26)有无缘无故的CVST其中最常见原因被发现凝血状况85% (n = 22名患者),其次是特发性的15% (n = 4)。在磁共振成像造影术(MRV), 74%的患者(n = 28)横窦血栓形成,乙状窦血栓形成占53% (n = 20),矢状窦血栓形成占42% (n = 16)。结论:临床表现多变,必须明确病因,诊断方法应选择MRV。头痛是最常见的临床表现,最常见的病因是产褥期。诱发性CVST比非诱发性CVST更常见,常伴有横窦血栓形成。孟加拉国J医学2023;34 (3): 186 - 191
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical relevance, etiology and imaging Characteristics of cerebral venous sinus Thrombosis at a tertiary care hospital in Bangladesh
Background: Cerebral sinus thrombus (CVST) is a rare form of stroke often affects young people with diverse clinical, etiological and radiological presentation. The aim of the study was to evaluate clinical relevance, etiologies, and imaging characteristics of CVST in Bangladesh. Methods: A prospective, observational study was done at a tertiary care hospital with patients recruited in the period of January 2021 to January 2023. 38 patients with clinical and radiological features suggestive of cerebral venous sinus thrombosis (CVST) were studied with thorough clinical evaluation and comprehensive work up. Results: The mean age of presentation was 28.42 years with female predominance (n = 24). Headache was the most common presenting symptoms (92%, n = 35) followed by vomiting (52%, n = 20). Hemi paresis (38%; n = 14) was the most common clinical sign followed by cranial nerve palsy (26%, n = 10). 31% of the patients (n=12) had provoked CVST among those the most common cause was found to be pregnancy/puerperium in 58% (n = 7 patients) followed by OCP which were 25% (n = 3). 69 % of the patients (n=26) had unprovoked CVST among those the most common cause was found to be prothrombotic conditions in 85% (n = 22 patients) followed by idiopathic which were 15% (n = 4). In magnetic resonance imaging venography (MRV), 74% of patients (n = 28) had thrombosis of transverse sinus, 53% of patients (n = 20) had thrombosis of the sigmoid sinus and 42% patients (n = 16) of patients had saggital sinus thrombosis. Conclusion: Clinical presentation is variable, etiology must be determined, and diagnostic method of choice is MRV. Headache was most the common clinical presentation and the most common etiological factor is puerperium. Provoked CVST is more common than unprovoked CVST and transverse sinus thrombosis frequently involved. Bangladesh J Medicine 2023; 34(3): 186-191
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