Cerebral venous sinus thrombosis history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: : Kalsang Dolma, M.B.B.S.[2] Sharmi Biswas, M.B.B.S

Overview

Symptoms of cerebral venous sinus thrombosis often overlap with the clinical presentations of other strokes. Headache is the most common presenting symptom followed by seizure, unconsciousness, cognitive impairments.

History and Symptoms

Headache: It 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]
Inability to move one or more limbs
Weakness on one side of the face
Aphasia
Seizures: 40% of all patients have seizure. It is more in women before and after birth.^[3]
Depressed level of consciousness and otherwise unexplained changes in mental status are common symptoms in the elderly.^[4]

References

↑ ^1.0 ^1.1 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 1679657.
↑ 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 Common symptoms in the elderly with this condition 16100024 Common symptoms in the elderly with this condition Check |pmid= value (help).

Overview