Clinical Outcome of Cortical Venous Thrombosis in Stroke Patients at a Tertiary Care Hospital of Southern Punjab

  • Sohaib Hassan Department of Neurology, Nishtar Hospital Multan, Pakistan
  • Ashraf Mahmood Neurosurgery, Holy Family Hospital/Rawalpindi Medical University,
  • Ahsan Numan Department of Neurology, King Edward Medical University, Lahore
  • Asif Mughal Ibne – Sina Hospital Multan
  • Samra Majeed Department of Neurosurgery, Services Hospital, Lahore
Keywords: Cortical venous thrombosis, Stroke

Abstract

Objective:  This study was determined to find out the clinical Outcome of Cortical Venous Thrombosis (CVT) in Stroke patients at a Tertiary Care Hospital of Southern Punjab.

Material & Methods:  A total of 100 patients with cortical venous thrombosis were included in this descriptive case series study, which was conducted at Department of Neurology, Nishtar Hospital Multan. Outcome of patients in terms of partial recovery or complete recovery, any recurrence, any complication, indication for Surgery and any disability in terms of focal deficit, prolonged hospital stay and Mortality was followed.

Results:  Our study included a total of 100 patients with cortical venous thrombosis (CVT), 35 (35%) were male and 65 (65%) were female patients with their mean age was 37.69 ± 16.52 years, ranging from 20 – 83 years (51.37 ± 17.44 in males versus 30.32 ± 10.15 years for females). Headache was noted in 80%, focal deficit in 57%, nerve palsy in 30%, coma in 22% and disability was noted in 35%. Partial recovery was noted in 65%, whereas complete recovery was noted in 35% while, complications were noted in 12 (12%) of these patients with CVT.

Conclusion:  Cortical venous thrombosis was more prevalent in females in their younger age groups and it was associated with poor prognosis as high frequency of partial recovery was noted in our study.

Keywords:  Cortical venous thrombosis, Stroke, headache, recovery, outcome.

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Published
2021-01-01
Section
Original Article