Clinical profile and outcome of cerebral venous sinus thrombosis at hospital discharge: a study from a tertiary care neurological center, Kathmandu, Nepal

Abstract

Introduction: To understand the clinical presentation and outcome of cerebral venous sinus thrombosis cases at discharge, we studied the clinical details and modified Rankin Scale in patients admitted and treated for cerebral venous sinus thrombosis.

Materials and methods: In this retrospective study, all the patients treated for cerebral venous sinus thrombosis who were admitted between July 2015–May 2017 A.D. were included. The clinical, laboratory and outcome details were documented. The outcome was measured in modified Rankin Scale.

Results: Out of 19 patients, most of the patients (15, 79%) were adults (19–45 years). One patient (5.2%) had obvious risk factor (post–partum state). Headache was the leading symptom in 16 (84.2%) cases and one (5.2%) had cranial nerve palsy and only three patients (15.7%) had motor deficits. Most of the patients (15, 79%) had ≥1 cerebral venous sinus involved. All the patients had modified Rankin Scale of 2 at discharge.

Conclusion: Appropriately treated cerebral venous sinus thrombosis cases, irrespective of the demographics and sinuses involved, have favourable outcome as measured by modified Rankin Scale at hospital discharge.