Journal article
Clinical presentations, radiological characteristics, and biological risk factors of cerebral venous thrombosis at a University Hospital in Saudi Arabia

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Publication Details
Author list: Abdullah S. Alamri, Mohammed F. Almuaigel, Zafar Azra, Foziah J. Alshamrani, Noor M. AlMohish, and Mona H. AlSheikh
Publisher: Medical Services Department Saudi Arabian Armed Forces
Publication year: 2021
Journal: Saudi Medical Journal
Journal name in source: Saudi medical journal
Journal acronym: SMJ
Volume number: 42
Issue number: 2
Start page: 213
End page: 218
Number of pages: 6
ISSN: 0379-5284
Web of Science ID: 000619808700012
PubMed ID: 33563742
Scopus ID: 85101407574
eISSN: 1658-3175

Objectives: To describe the clinical features and possible etiologies of cerebral vein thrombosis (CVT) in a Saudi Arabian cohort.

Methods: A retrospective, observational design was implemented. Data pertaining to 36 patients (19 female and 17 male) with confirmed CVT diagnosis admitted to a hospital in Saudi Arabia between 2008 and 2019 were obtained and analyzed.

Results: The age of patients ranged between 19 to 82 years, and the mean/median age was 33/29 years. Most commonly reported symptoms were headache ( 72%), unilateral lower limb weakness (39%), and seizures (17%). Papilledema was found in 8% of patients. Thrombotic disorders were identified in 14% and infections were identified in 8% of the patients. Two patients had ulcerative colitis, 2 were diagnosed with Behcet’s disease, and 2 women were using oral contraceptive pills. Single sinus thrombosis was detected in only 22% of patients. One patient with diabetic ketoacidosis died. Thrombotic disorder was the most common risk factor, followed by that iron deficiency anemia.

Conclusion: The transverse sinus was the most frequently thrombosed sinus. Iron deficiency anemia emerged as a predisposing preventable condition for CVT, while genetic factors were found to be less important in this cohort.

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Last updated on 2021-08-04 at 09:50