Cerebral Venous Sinus Thrombosis in Women: Subgroup Analysis of the VENOST Study.


Journal

Stroke research and treatment
ISSN: 2090-8105
Titre abrégé: Stroke Res Treat
Pays: United States
ID NLM: 101529024

Informations de publication

Date de publication:
2020
Historique:
received: 30 11 2019
accepted: 15 05 2020
entrez: 21 9 2020
pubmed: 22 9 2020
medline: 22 9 2020
Statut: epublish

Résumé

Early diagnosis of cerebral venous sinus thrombosis (CVST) associated with reproductive health-related risk factors (RHRF) including pregnancy, puerperium, and oral contraceptive (OC) use can prevent severe neurological sequelae; thus, the symptoms must be documented in detail for each group. Out of 1144 patients with CVST, a total of 777 women were enrolled from a multicenter for the study of cerebral venous sinus thrombosis (VENOST). Demographic, biochemical, clinical, and radiological aspects were compared for 324 cases with RHRF and 453 cases without RHRF. The mean age of the RHRF (-) group (43.2 ± 13 years) was significantly higher than of the RHRF (+) group (34 ± 9 years). A previous history of deep venous thrombosis (3%), isolated cavernous sinus involvement (1%), cranial neuropathy (13%), comorbid malignancy (7%), and its disability scores after 12 months (9%) were significantly higher in the RHRF (-) group. The RHRF (+) group consisted of 44% cases of puerperium, 33% cases of OC users and 23% of pregnant women. The mean age was found to be higher in OC users (38 ± 9 years). A previous history of deep venous thrombosis was slightly higher in the pregnancy subgroup (4%). Epileptic seizures were more common in the puerperium group (44%). The results of our study indicate that the risk of CSVT increases parallel to age, OC use, and puerperium period. In addition, when considering the frequency of findings and symptoms, epileptic seizures in the puerperium subgroup of the RHRF (+) group and malignancies in the RHRF (-) group may accompany the CSVT. In daily practice, predicting these risks for the CSVT and early recognition of the symptoms will provide significant benefits to patients.

Sections du résumé

BACKGROUND BACKGROUND
Early diagnosis of cerebral venous sinus thrombosis (CVST) associated with reproductive health-related risk factors (RHRF) including pregnancy, puerperium, and oral contraceptive (OC) use can prevent severe neurological sequelae; thus, the symptoms must be documented in detail for each group.
METHODS METHODS
Out of 1144 patients with CVST, a total of 777 women were enrolled from a multicenter for the study of cerebral venous sinus thrombosis (VENOST). Demographic, biochemical, clinical, and radiological aspects were compared for 324 cases with RHRF and 453 cases without RHRF.
RESULTS RESULTS
The mean age of the RHRF (-) group (43.2 ± 13 years) was significantly higher than of the RHRF (+) group (34 ± 9 years). A previous history of deep venous thrombosis (3%), isolated cavernous sinus involvement (1%), cranial neuropathy (13%), comorbid malignancy (7%), and its disability scores after 12 months (9%) were significantly higher in the RHRF (-) group. The RHRF (+) group consisted of 44% cases of puerperium, 33% cases of OC users and 23% of pregnant women. The mean age was found to be higher in OC users (38 ± 9 years). A previous history of deep venous thrombosis was slightly higher in the pregnancy subgroup (4%). Epileptic seizures were more common in the puerperium group (44%).
CONCLUSION CONCLUSIONS
The results of our study indicate that the risk of CSVT increases parallel to age, OC use, and puerperium period. In addition, when considering the frequency of findings and symptoms, epileptic seizures in the puerperium subgroup of the RHRF (+) group and malignancies in the RHRF (-) group may accompany the CSVT. In daily practice, predicting these risks for the CSVT and early recognition of the symptoms will provide significant benefits to patients.

Identifiants

pubmed: 32953038
doi: 10.1155/2020/8610903
pmc: PMC7481993
doi:

Types de publication

Journal Article

Langues

eng

Pagination

8610903

Informations de copyright

Copyright © 2020 Derya Uluduz et al.

Déclaration de conflit d'intérêts

The authors declared that they have no conflicts of interest for this article.

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Auteurs

Derya Uluduz (D)

School of Medicine, Department of Neurology, Istanbul Cerrahpasa University, Istanbul, Turkey.

Sevki Sahin (S)

School of Medicine, Department of Neurology, Maltepe University, Istanbul, Turkey.

Taskin Duman (T)

School of Medicine, Department of Neurology, Mustafa Kemal University, Hatay, Turkey.

Serefnur Ozturk (S)

Selcuk University, School of Medicine, Department of Neurology, Konya, Turkey.

Vildan Yayla (V)

University of Health Science, Hamidiye School of Medicine, Sadi Konuk Research and Training Hospital, Department of Neurology, Istanbul, Turkey.

Nazire Afsar (N)

Acibadem University, School of Medicine, Department of Neurology, Istanbul, Turkey.

Nevzat Uzuner (N)

Osmangazi University, School of Medicine, Department of Neurology, Eskisehir, Turkey.

Ipek Midi (I)

Marmara University, School of Medicine, Department of Neurology, Istanbul, Turkey.

Nilgun Cinar (N)

School of Medicine, Department of Neurology, Maltepe University, Istanbul, Turkey.

Mehmet Ali Sungur (MA)

Duzce University, School of Medicine, Department of Biostatistics, Duzce, Turkey.

Fusun Mayda Domac (FM)

University of Health Science, Hamidiye School of Medicine, Erenkoy Research and Training Hospital for Neurologic and Psychiatric Diseases, Department of Neurology, Istanbul, Turkey.

Birsen Ince (B)

School of Medicine, Department of Neurology, Istanbul Cerrahpasa University, Istanbul, Turkey.

Baki Goksan (B)

School of Medicine, Department of Neurology, Istanbul Cerrahpasa University, Istanbul, Turkey.

Cemile Handan Misirli (CH)

University of Health Science, Hamidiye School of Medicine, Haydarpasa Training and Research Hospital, Department of Neurology, Istanbul, Turkey.

Mustafa Bakar (M)

Uludag University, School of Medicine, Department of Neurology, Bursa, Turkey.

Hasan Huseyin Kozak (HH)

Nemettin Erbakan University, School of Medicine, Department of Neurology, Konya, Turkey.

Sena Colakoglu (S)

School of Medicine, Department of Neurology, Mustafa Kemal University, Hatay, Turkey.

Ali Yavuz Karahan (AY)

Usak University, School of Medicine, Department of Physical Medicine and Rehabilitation, Usak, Turkey.

Eylem Ozaydin Goksu (EO)

Antalya Research and Training Hospital, Clinic of Neurology, Antalya, Turkey.

Fatih Ozdag (F)

University of Health Science, Hamidiye School of Medicine, Sultan Abdulhamid Han Research and Training Hospital, Department of Neurology, Istanbul, Turkey.

Mehmet Guney Senol (MG)

University of Health Science, Hamidiye School of Medicine, Sultan Abdulhamid Han Research and Training Hospital, Department of Neurology, Istanbul, Turkey.

Vedat Ali Yurekli (VA)

Suleyman Demirel University, School of Medicine, Department of Neurology, Isparta, Turkey.

Ufuk Aluclu (U)

Dicle University, School of Medicine, Department of Neurology, Diyarbakır, Turkey.

Serkan Demir (S)

Sancaktepe Research and Training Hospital, Clinic of Neurology, Istanbul, Turkey.

Hayriye Kucukoglu (H)

Sultan Abdulhamid Research and Training Hospital, Clinic of Neurology, Istanbul, Turkey.

Serdar Oruc (S)

Kocatepe University, School of Medicine, Department of Neurology, Afyon, Turkey.

Nilufer Yesilot (N)

Istanbul University, School of Medicine, Department of Neurology, Istanbul, Turkey.

Ozge Yimaz Kusbeci (OY)

Bozyaka Education, Research and Traning Hospital, Clinic of Neurology, Izmir, Turkey.

Bijen Nazliel (B)

Gazi University, School of Medicine, Department of Neurology, Ankara, Turkey.

Firdevs Ezgi Ucan Tokuc (FEU)

Antalya Research and Training Hospital, Clinic of Neurology, Antalya, Turkey.

Hesna Bektas (H)

Ataturk Research and Training Hospital, Clinic of Neurology, Ankara, Turkey.

Fatma Nida Tascilar (FN)

Bulent Ecevit University, School of Medicine, Department of Neurology, Zonguldak, Turkey.

Emrah Aytac (E)

Firat University, School of Medicine, Department of Neurology, Elazig, Turkey.

Mustafa Gokce (M)

Sutcu Imam University, School of Medicine, Department of Neurology, Kahramanmaras, Turkey.

Hale Zeynep Batur Caglayan (HZB)

Gazi University, School of Medicine, Department of Neurology, Ankara, Turkey.

Ahmet Tufekci (A)

Recep Tayyip Erdogan University, School of Medicine, Department of Neurology, Rize, Turkey.

Gulnur Uzuner (G)

Osmangazi University, School of Medicine, Department of Neurology, Eskisehir, Turkey.

Dilek Necioglu Orken (DN)

Bilim University, School of Medicine, Department of Neurology, Istanbul, Turkey.

Osman Ozgur Yalin (OO)

Istanbul Research and Training Hospital, Clinic of Neurology, Istanbul, Turkey.

Uygar Utku (U)

Sutcu Imam University, School of Medicine, Department of Neurology, Kahramanmaras, Turkey.

Arda Yilmaz (A)

Mersin University, School of Medicine, Department of Neurology, Mersin, Turkey.

Hamit Genc (H)

Mersin University, School of Medicine, Department of Neurology, Mersin, Turkey.

Murat Cabalar (M)

Sadi Konuk Research and Training Hospital, Clinic of Neurology, Istanbul, Turkey.

Aysel Milanlioglu (A)

Yuzuncu Yil University, School of Medicine, Department of Neurology, Van, Turkey.

Hakan Ekmekci (H)

Selcuk University, School of Medicine, Department of Neurology, Konya, Turkey.

Burcu Zeydan (B)

Mayo Clinic, College of Medicine, Department of Neurology, Rochester, MN., USA.

Sevim Baybas (S)

Bakirkoy Prof. Dr. Mazhar Osman Mental Health and Neurology Training and Research Hospital, Clinic of Neurology, Istanbul, Turkey.

Yuksel Kablan (Y)

Inonu University, School of Medicine, Department of Neurology, Malatya, Turkey.

Basak Karakurum Goksel (BK)

Baskent University, School of Medicine, Department of Neurology, Ankara, Turkey.

Mustafa Acikgoz (M)

Bulent Ecevit University, School of Medicine, Department of Neurology, Zonguldak, Turkey.

Hatice Kurucu (H)

School of Medicine, Department of Neurology, Istanbul Cerrahpasa University, Istanbul, Turkey.

Seden Demirci (S)

Akdeniz University, School of Medicine, Department of Neurology, Antalya, Turkey.

Taskin Gunes (T)

Maltepe Government Hospital, Clinic of Neurology, Istanbul, Turkey.

Classifications MeSH