Cerebral venous sinus thrombosis history and symptoms: Difference between revisions
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===Symptoms=== | ===Symptoms=== | ||
Headache is a common presentation (present in 90% of cases); it tends to worsen over a period of several days, but may also develop suddenly ([[thunderclap headache]]).<ref name=Stam2005/> The headache may be the only symptom of cerebral venous sinus thrombosis.<ref name=Cumurciuc2005>{{cite journal |author=Cumurciuc R, Crassard I, Sarov M, Valade D, Bousser MG |title=Headache as the only neurological sign of cerebral venous thrombosis: a series of 17 cases |journal=J. Neurol. Neurosurg. Psychiatr. |volume=76 |issue=8 |pages=1084–7 |year=2005 |pmid=16024884 |doi=10.1136/jnnp.2004.056275}}</ref> Many patients have symptoms of [[stroke]]: inability to move one or more limbs, weakness on one side of the face or [[aphasia|difficulty speaking]]. This does not necessarily affect one side of the body as in "arterial" stroke.<ref name=Stam2005/> 40% of all patients have [[seizure]]s (more in women before and after birth<ref name=EFNS>{{cite journal |author=Einhäupl K, Bousser MG, de Bruijn SF, ''et al'' |title=EFNS guideline on the treatment of cerebral venous and sinus thrombosis |journal=Eur. J. Neurol. |volume=13 |issue=6 |pages=553–9 |year=2006 |pmid=16796579 |doi=10.1111/j.1468-1331.2006.01398.x}}</ref>), mostly [[Focal seizures|focal]] but often [[Tonic-clonic seizure|generalised]] and sometimes leading to [[status epilepticus]].<ref name=Stam2005/> In the elderly, many of the aforementioned symptoms may not occur. Common symptoms in the elderly with this condition are a [[coma|depressed level of consciousness]] and otherwise unexplained changes in [[mental status]].<ref>{{cite journal |author=Ferro JM, Canhão P, Bousser MG, Stam J, Barinagarrementeria F |title=Cerebral vein and dural sinus thrombosis in elderly patients |journal=Stroke |volume=36 |issue=9 |pages=1927–32 |year=2005 |pmid=16100024 |doi=10.1161/01.STR.0000177894.05495.54}}</ref> | Headache is a common presentation (present in 90% of cases); it tends to worsen over a period of several days, but may also develop suddenly ([[thunderclap headache]]).<ref name=Stam2005>{{cite journal |author=Stam J |title=Thrombosis of the cerebral veins and sinuses |journal=N. Engl. J. Med. |volume=352 |issue=17 |pages=1791–8 |year=2005 |pmid=15858188 |doi=10.1056/NEJMra042354}}</ref> | ||
The headache may be the only symptom of cerebral venous sinus thrombosis.<ref name=Cumurciuc2005>{{cite journal |author=Cumurciuc R, Crassard I, Sarov M, Valade D, Bousser MG |title=Headache as the only neurological sign of cerebral venous thrombosis: a series of 17 cases |journal=J. Neurol. Neurosurg. Psychiatr. |volume=76 |issue=8 |pages=1084–7 |year=2005 |pmid=16024884 |doi=10.1136/jnnp.2004.056275}}</ref> Many patients have symptoms of [[stroke]]: inability to move one or more limbs, weakness on one side of the face or [[aphasia|difficulty speaking]]. This does not necessarily affect one side of the body as in "arterial" stroke.<ref name=Stam2005/> 40% of all patients have [[seizure]]s (more in women before and after birth<ref name=EFNS>{{cite journal |author=Einhäupl K, Bousser MG, de Bruijn SF, ''et al'' |title=EFNS guideline on the treatment of cerebral venous and sinus thrombosis |journal=Eur. J. Neurol. |volume=13 |issue=6 |pages=553–9 |year=2006 |pmid=16796579 |doi=10.1111/j.1468-1331.2006.01398.x}}</ref>), mostly [[Focal seizures|focal]] but often [[Tonic-clonic seizure|generalised]] and sometimes leading to [[status epilepticus]].<ref name=Stam2005/> In the elderly, many of the aforementioned symptoms may not occur. Common symptoms in the elderly with this condition are a [[coma|depressed level of consciousness]] and otherwise unexplained changes in [[mental status]].<ref>{{cite journal |author=Ferro JM, Canhão P, Bousser MG, Stam J, Barinagarrementeria F |title=Cerebral vein and dural sinus thrombosis in elderly patients |journal=Stroke |volume=36 |issue=9 |pages=1927–32 |year=2005 |pmid=16100024 |doi=10.1161/01.STR.0000177894.05495.54}}</ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 16:57, 24 July 2012
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Symptoms
Headache is a common presentation (present in 90% of cases); it tends to worsen over a period of several days, but may also develop suddenly (thunderclap headache).[1] The headache may be the only symptom of cerebral venous sinus thrombosis.[2] Many patients have symptoms of stroke: inability to move one or more limbs, weakness on one side of the face or difficulty speaking. This does not necessarily affect one side of the body as in "arterial" stroke.[1] 40% of all patients have seizures (more in women before and after birth[3]), mostly focal but often generalised and sometimes leading to status epilepticus.[1] In the elderly, many of the aforementioned symptoms may not occur. Common symptoms in the elderly with this condition are a depressed level of consciousness and otherwise unexplained changes in mental status.[4]
References
- ↑ 1.0 1.1 1.2 Stam J (2005). "Thrombosis of the cerebral veins and sinuses". N. Engl. J. Med. 352 (17): 1791–8. doi:10.1056/NEJMra042354. PMID 15858188.
- ↑ Cumurciuc R, Crassard I, Sarov M, Valade D, Bousser MG (2005). "Headache as the only neurological sign of cerebral venous thrombosis: a series of 17 cases". J. Neurol. Neurosurg. Psychiatr. 76 (8): 1084–7. doi:10.1136/jnnp.2004.056275. PMID 16024884.
- ↑ Einhäupl K, Bousser MG, de Bruijn SF; et al. (2006). "EFNS guideline on the treatment of cerebral venous and sinus thrombosis". Eur. J. Neurol. 13 (6): 553–9. doi:10.1111/j.1468-1331.2006.01398.x. PMID 16796579.
- ↑ Ferro JM, Canhão P, Bousser MG, Stam J, Barinagarrementeria F (2005). "Cerebral vein and dural sinus thrombosis in elderly patients". Stroke. 36 (9): 1927–32. doi:10.1161/01.STR.0000177894.05495.54. PMID 16100024.