Abstract
Background and Purpose: Cerebral venous thrombosis is more common than previously thought now that the use of neuroimaging is more widespread. The purpose of our study was to elucidate clinical and radiological features of patients with CVT admitted in our hospital.
Methods: We reviewed consecutive 10 CVT cases (5 females and 5 males with a mean age of 49 years) admitted to our hospital from April 2008 to March 2011.
Results: On admission, 7 patients had focal neurological deficits (mild motor paresis in 5) and the other 3 patients had isolated headache. Four patients presented with seizures on admission. CT/MRI on admission showed intracranial hemorrhages in 4 patients, venous infarct in 3 and no parenchymal lesion in 3. Initial MRI T2＊ weighted images in 9 cases revealed hypointense signals and enlargement of thrombosed vessels. All patients received anticoagulant therapy and 8 patients among them showed good functional outcome (modified Rankin Scale 0–1) at discharge.
Conclusion: Most CVT cases in our series presented with mild symptoms and had good functional outcome at discharge. Applying neuroimaging, especially using T2＊ sequences, may help early diagnosis of CVT.
