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Scholars Academic Journal of Biosciences | Volume-7 | Issue-03
Neuro-Radiological Spectrum of Venous Sinus Thrombosis in a Tertiary Care Hospital
Mishra AP, Mallick AK, Mishra S, Dash PK
Published: March 30, 2019 |
257
194
DOI: 10.36347/sajb.2019.v07i03.005
Pages: 136-140
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Abstract
Background: Cerebral venous sinus thrombosis (CVST) is the formation of blood clot in the dural venous and/or sinuses, which drain blood from the brain. It is one of the commonest causes of stroke in young. Primarily the diagnosis is confirmed by radiological evaluation (MRI with MR Venogram). Materials & methods: prospective observational hospital based study in the department of Neurology, S.C.B. Medical College & Hospital, Cuttack, Odisha from October 2015 to September 2017. Those patients with clinical diagnosis of CVST with magnetic resonance imaging and venogram confirmation were included in the study. The radiological evaluation was tabulated to identify commonest area and patterns of sinus involvement. All the data were analysed according to SPSS software version 20.0. Results: Total 52 patients were included in the study. Most common age group was 21-40 yrs. Parietal lobe involvement was found to be commonest, in 14 patients (26.9%). Occipital & frontal lobe were found to be 2nd & 3rd common region of brain. 12(23.1%) patients had single sinus involvement & 40 (76.9%) patients had combination of different sinus/venous channel involvement. Transverse sinus was the most common sinus. Conclusion: All the CVST patients must be exposed to radiological evaluation by MRI and MR Venogram. It will not only help diagnosis and treatment of the disease but also it will help in prognosticate the outcome. In our area transverse sinus was the most common sinus to be involved. Further large studies are needed to obtain further knowledge about the pathological features and their radiological correlation.