Presentation is loading. Please wait.

Presentation is loading. Please wait.

First author: Bârsan Ioana Authors: Anca Raluca Suciu M ă d ă lina Cri ş an Rodiana Gu ş u Coordinators: Dr. Ioan Macavei.

Similar presentations


Presentation on theme: "First author: Bârsan Ioana Authors: Anca Raluca Suciu M ă d ă lina Cri ş an Rodiana Gu ş u Coordinators: Dr. Ioan Macavei."— Presentation transcript:

1 First author: Bârsan Ioana Authors: Anca Raluca Suciu M ă d ă lina Cri ş an Rodiana Gu ş u Coordinators: Dr. Ioan Macavei

2  Major neurological emergency  Cerebral venous thrombosis(CVT) of the brain is much less frequent than thromboembolic arterial occlusions.  With a higher incidence than previously thought

3  Diverse etiology, sometimes very hard to establish  The most frequent risk factors:  Hypercoagulable disorders  Inflammatory disease  Oral contraceptives  Pregnancy and puerperium  Heart disease  Infections  Trauma

4  Highly variable  From mild symptoms to severe neurological dysfunction  Clinical outset:  Headache  Focal or generalized seizures  Intracranial Hypertension  Decreased consciousness to coma  Cranial Nerve Syndrome  Visual loss  Endocrine disturbances

5  MRI-gold standard  Angiography MRI  CT  Angiography CT

6  The aim of the study is to follow the:  Sex and age distribution  Clinical manifestations  Location of the lesions  Risk factors  Imagistic investigations

7  Retrospective study  Period: January 2012-December 2013  Subjects: 25 cases with CVT admitted in the Neurology Clinic of the Mure ş Clinical Conty Emergency Hospital

8 Arterial and Venous stroke

9 Number of patients

10

11 Imagistic Investigations

12 Early Symptoms

13  CVT occurs at a much lower frequency than does thromboembolic arterial occlusions.  The disease affects especially women between 30 and 59 years old from the rutal regions of the country.

14  Most often the lesions are located in the Superior Transvers Sinus and they are mostly established using MRI investigations.  The most common form of debut in CVT is the atypical from. Recognizing this pathology is essential for prompt treatment in particular clinical circumstances.

15  1.SYMONDS C.P. 1937, GARCIN R. 1949  2.Stuart EA, O’Brien FH, McNally WJ. Cerebral venous thrombosis. Its occurrence; its localization; its sources and sequelae.Ann Otol Rhinol Laryngol 1951; 60:406-438.  3.AMERI A.: A propos de 110 cas de tromboses cerebrales. These de medicina. Universite Paris VI, 1991  4.Laupland K B. Vascular and parameningeal infection of the head and neck. Infect Dis Clin North Am. Jun 2007; 21(2) : 577-90,VIII.  5.Pabinger I, Grafenhofer H, Kyrle PA, Quehenberger P, Mannhalter C, LechnerK, Kaider A. Temporary increase in the risk for recurrence during pregnancy in women with a history of venous thromboembolism. Blood. 2002;100:1060–1062.  6. Martinelli I, Sacchi E, Landi G, Taioli E, Duca F, Mannucci PM. High risk of cerebral-vein thrombosis in carriers of a prothrombin-gene mutation and in users of oral contraceptives. N Engl J Med. 1998;338:1793–1797.  7. BOUSSER M. G., BERNETT H. M: Cerebral Venous thrombosis;Stroke 1998 Ed. IIIcap.24  8. AMERI A., BOUSSER M. G.: Cerebral venous thrombosis, Neurologie clinic, 1992, 10;87-111  9. Einhaupl KM, Villringer A, Harberl RL et al. Clinical spectrum of sinus venous thrombosis. In: Cerebral Sinus Thrombosis: Experimental and Clinical Aspects. Einhaulp KM, Kempski O, Baethmann A (Eds). Plenum Press, NY, USA 149-156 (1990).  10. Biousse V, Ameri A, Bousser MG. Isolated intracranial hypertension as the only sign of cerebral venous thrombosis. Neurology 53, 1537-1542 (1999).  11. Newman DS, Levine SR, Curtis VL, Welch KMA. Migraine like visual phenomena associated with cerebral venous thrombosis. Headache 29, 82-85 (1989).  12. Ferro JM, Canhao P, Stam J, Bousser MG, Barinagarrementeria F. Prognosis of cerebral vein and dural sinus thrombosis: results of the International Study on Cerebral Vein and Dural Sinus Thrombosis (ISCVT). Stroke 35, 664-670 (2004).

16 Thank you For your attention!


Download ppt "First author: Bârsan Ioana Authors: Anca Raluca Suciu M ă d ă lina Cri ş an Rodiana Gu ş u Coordinators: Dr. Ioan Macavei."

Similar presentations


Ads by Google