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SAS Journal of Medicine | Volume-7 | Issue-12
Non-Traumatic Cerebral Venous Thrombosis, an Entity with Complex Radioclinical Aspects in Adults. About 33 Cases
V. Ndayishimiye, M. Sabiri, K. Boumlik, O. Jbara, K. Rebbouh, G. Lembarki, S. Lezar, F. Essodegui
Published: Dec. 19, 2021 | 120 90
DOI: 10.36347/sasjm.2021.v07i12.008
Pages: 681-687
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Abstract
Cerebral venous thrombosis (CVT) is a rare condition that can be life-threatening. It is characterized by clinical and radiological polymorphism. We carried out a retrospective study over a period of 34 months, from January 01, 2019 to October 31, 2021 ; from the files of patients referred for magnetic resonance imaging (MRI) or CT scan exploration in cerebral neurological symptoms context, with as judgment criterion the demonstration of a thrombus in a venous sinus or cerebral vein. We collected thirty-three (33) patients, with an average age of 39.06 years old and as extreme ages 18 years old and 76 years old. We noted a female predominance with a sex ratio of 1.2 in favor of female sex. The most of patients were axplored with MRI, in 60% of cases. Our patient history was dominated by epilepsy in 13% of cases, followed by deep vein thrombosis of the lower extremities, toxic habits, cerebral venous thrombosis and combined contraception represented in 8% of cases each. The symptomatology presented by the patients was intracranial hypertension in 23% followed by headache in 20% of cases. The etiologies implicated were infectious in 28% of cases. The most affected sinus was the superior sagittal sinus in 41% of cases. Cerebral parenchymal complications were mainly consisted of ischemia with hemorrhagic infarction in 24% of cases.