Decompressive surgery for severe cerebral venous sinus thrombosis

Neurology India
Rahul LathAlok Ranjan

Abstract

Cerebral venous sinus thrombosis (CVST) is one of the common causes of stroke in young people. Mortality in CVST, in addition to progressive thrombosis, is related to elevated intracranial pressure causing transtentorial herniation. The role of decompressive surgery in CVST is not well established. We report our experience with decompressive surgery in CVST and review the literature. This is a retrospective study carried out in the Stroke Unit of a multispeciality tertiary care hospital in south India. The medical records of patients admitted with the diagnosis of CVST between December 2003 and July 2009 were reviewed. The clinical presentation, etiology, medical management, indications for surgery and outcomes were assessed for patients undergoing decompressive surgery. The sensorium was assessed using the Glasgow Coma Scale (GCS), while the outcome was assessed using the modified Rankin scale (mRS). Descriptive statistics were used as appropriate. One hundred and six patients were admitted with the diagnosis of CVST during the study period. Eleven patients (10%) underwent decompressive surgical procedure. Indications for surgery included a low GCS at admission with large infarct on the computed tomography scan, mass effect an...Continue Reading

References

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Citations

Apr 18, 2013·Journal of Neurology, Neurosurgery, and Psychiatry·Sanjith AaronAri George Chacko
Dec 15, 2010·Neurology India·Satoru Takeuchi, Yoshio Takasato
Feb 12, 2014·Nature Reviews. Neurology·Mohammad WasaySubhash Kaul
Jul 9, 2014·Journal of Neurosciences in Rural Practice·Virendra C PatilSumit Agrawal
Oct 15, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Emmon RazaAyeesha Kamran Kamal
Apr 14, 2016·Annals of Intensive Care·Benjamin SoyerDidier Payen
Nov 7, 2016·La Presse médicale·José Manuel FerroDiana Aguiar de Sousa
Jul 30, 2011·Stroke; a Journal of Cerebral Circulation·José M FerroUNKNOWN Second International Study on Cerebral Vein and Dural Sinus Thrombosis (ISCVT 2) Investigators
Mar 17, 2017·Journal of Thrombosis and Thrombolysis·Rohan MahaleRangasetty Srinivasa
Apr 22, 2021·Surgical Neurology International·Ahmed Mohamed AlselislyAhmed Mohamed Salah
Jul 14, 2021·Neurología : publicación oficial de la Sociedad Española de Neurología·A ArauzF Serrano

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