A rare stroke: Cerebral Venous-Sinus Thrombosis; A Case Series Analysis Presented to Emergency Department and Review of the Literature

Karamercan, Mehmet; Gürü, Selahattin; (Oktem) Uzer, Begum; ESFER, SEZER; Demir, Huseyin Avni

doi:10.33631/sabd.1115791

A rare stroke: Cerebral Venous-Sinus Thrombosis; A Case Series Analysis Presented to Emergency Department and Review of the Literature

Selahattin GÜRÜ, (Ankara Şehir Hastanesi, Acil Tıp Kliniği, Ankara, Türkiye)

Begüm Öktem, (Antalya Eğitim ve Araştırma Hastanesi, Acil Tıp Kliniği, Antalya, Türkiye)

Hüseyin Avni DEMİR, (Şanlıurfa Mehmet Akif İnan Eğitim ve Araştırma Hastanesi, Acil Tıp Kliniği, Şanlıurfa, Türkiye)

Sezer EŞFER, (Şanlıurfa Mehmet Akif İnan Eğitim ve Araştırma Hastanesi, Acil Tıp Kliniği, Şanlıurfa, Türkiye)

Mehmet Akif KARAMERCAN (Gazi Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Ankara, Türkiye)

Sağlık bilimlerinde değer (Online)

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Yıl: 2022 Cilt: 12 Sayı: 2 Sayfa Aralığı: 372 - 377 Metin Dili: İngilizce DOI: 10.33631/sabd.1115791 İndeks Tarihi: 29-07-2022

A rare stroke: Cerebral Venous-Sinus Thrombosis; A Case Series Analysis Presented to Emergency Department and Review of the Literature

Öz:

ABSTRACT Cerebral venous sinus thrombosis (CVST) is a rare but acute and life-threatening disease. In this study, we present a case series of 10 patients with CSVT diagnosed in the emergency department of a tertiary hospital. Demographic characteristics, CVST etiologies, diagnostic characteristics in their history, radiological signs and prognosis were recorded during their hospitalization. The median age of the patients was 32 years. Half of the patients were women. It was known that three patients had otitis media, and the other three patients had pregnancy, puerperium and hormonal contraceptives. One patient had chronic inflammatory disease and one patient had idiopathic thrombosis. All but one of the patients had headache. The diagnostic tool was magnetic resonance venography and all patients had transverse sinus occlusion. All patients received anticoagulant treatment in the neurology department, 9 patients were discharged with good recovery, 1 patient died. Emergency clinicians should be more careful, especially in young patients and patients with thrombotic risk factors. Hormonal contraceptives are a major preventable risk factor. However, pregnancy and the postpartum period are thrombotic risk factors on their own. Intracranial infections such as otitis media may spread and cause cerebral vein thrombosis. Magnetic resonance venography is the most successful diagnostic tool for SSVT.

Anahtar Kelime: emergency medicine headache Venous sinus thrombosis

Nadir bir İnme: Serebral Venöz-Sinüs Trombozu; Acil Serviste bir Vaka Serisi ve Literatür Derlemesi

Öz:

Serebral venöz sinüs trombozu (SVST) nadir görülen ancak akut ve yaşamı tehdit eden bir hastalıktır. Bu çalışmada, üçüncü basamak bir hastanenin acil servisinde tanı alan 10 hastalık SVST vaka serisini sunuyoruz. Hastaların demografik özellikleri, SVST etiyolojileri, özgeçmişlerindeki tanısal özellikler, radyolojik bulgular ve prognoz hastanede yattıkları süre boyunca kaydedildi. Hastaların ortanca yaşı 32 idi. Yarısı kadındı. Üç hastada orta kulak iltihabı, diğer üç hastada gebelik, lohusalık ve hormonal kontraseptif olduğu biliniyordu. Bir hastada kronik enflamatuvar hastalık mevcuttu ve bir hastada tromboz idiyopatikti. Hastaların biri hariç tümünde baş ağrısı vardır. Tanı aracı manyetik rezonans venografi idi ve tüm hastalarda transvers sinüs tıkalıydı. Tüm hastalar nöroloji bölümünde yatarak antikoagülan tedavi aldı, 9 hasta şifa ile taburcu edildi, 1 hasta öldü. Özellikle genç hastalarda ve trombotik risk faktörleri olan hastalarda acil servis klinisyenleri daha dikkatli olmalıdır. Hormonal kontraseptif önlenebilir bir majör risk faktörüdür. Ancak gebelik ve doğum sonrası dönem başlı başına bir trombotik risk faktörüdür. Otitis media gibi intrakraniyal enfeksiyonlar yayılarak serebral ven trombozuna neden olabilir. Manyetik rezonans venografi, SVST için en başarılı tanı aracıdır.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

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APA	Gürü S, (Oktem) Uzer B, Demir H, ESFER S, Karamercan M (2022). A rare stroke: Cerebral Venous-Sinus Thrombosis; A Case Series Analysis Presented to Emergency Department and Review of the Literature. , 372 - 377. 10.33631/sabd.1115791
Chicago	Gürü Selahattin,(Oktem) Uzer Begum,Demir Huseyin Avni,ESFER SEZER,Karamercan Mehmet A rare stroke: Cerebral Venous-Sinus Thrombosis; A Case Series Analysis Presented to Emergency Department and Review of the Literature. (2022): 372 - 377. 10.33631/sabd.1115791
MLA	Gürü Selahattin,(Oktem) Uzer Begum,Demir Huseyin Avni,ESFER SEZER,Karamercan Mehmet A rare stroke: Cerebral Venous-Sinus Thrombosis; A Case Series Analysis Presented to Emergency Department and Review of the Literature. , 2022, ss.372 - 377. 10.33631/sabd.1115791
AMA	Gürü S,(Oktem) Uzer B,Demir H,ESFER S,Karamercan M A rare stroke: Cerebral Venous-Sinus Thrombosis; A Case Series Analysis Presented to Emergency Department and Review of the Literature. . 2022; 372 - 377. 10.33631/sabd.1115791
Vancouver	Gürü S,(Oktem) Uzer B,Demir H,ESFER S,Karamercan M A rare stroke: Cerebral Venous-Sinus Thrombosis; A Case Series Analysis Presented to Emergency Department and Review of the Literature. . 2022; 372 - 377. 10.33631/sabd.1115791
IEEE	Gürü S,(Oktem) Uzer B,Demir H,ESFER S,Karamercan M "A rare stroke: Cerebral Venous-Sinus Thrombosis; A Case Series Analysis Presented to Emergency Department and Review of the Literature." , ss.372 - 377, 2022. 10.33631/sabd.1115791
ISNAD	Gürü, Selahattin vd. "A rare stroke: Cerebral Venous-Sinus Thrombosis; A Case Series Analysis Presented to Emergency Department and Review of the Literature". (2022), 372-377. https://doi.org/10.33631/sabd.1115791

APA	Gürü S, (Oktem) Uzer B, Demir H, ESFER S, Karamercan M (2022). A rare stroke: Cerebral Venous-Sinus Thrombosis; A Case Series Analysis Presented to Emergency Department and Review of the Literature. Sağlık bilimlerinde değer (Online), 12(2), 372 - 377. 10.33631/sabd.1115791
Chicago	Gürü Selahattin,(Oktem) Uzer Begum,Demir Huseyin Avni,ESFER SEZER,Karamercan Mehmet A rare stroke: Cerebral Venous-Sinus Thrombosis; A Case Series Analysis Presented to Emergency Department and Review of the Literature. Sağlık bilimlerinde değer (Online) 12, no.2 (2022): 372 - 377. 10.33631/sabd.1115791
MLA	Gürü Selahattin,(Oktem) Uzer Begum,Demir Huseyin Avni,ESFER SEZER,Karamercan Mehmet A rare stroke: Cerebral Venous-Sinus Thrombosis; A Case Series Analysis Presented to Emergency Department and Review of the Literature. Sağlık bilimlerinde değer (Online), vol.12, no.2, 2022, ss.372 - 377. 10.33631/sabd.1115791
AMA	Gürü S,(Oktem) Uzer B,Demir H,ESFER S,Karamercan M A rare stroke: Cerebral Venous-Sinus Thrombosis; A Case Series Analysis Presented to Emergency Department and Review of the Literature. Sağlık bilimlerinde değer (Online). 2022; 12(2): 372 - 377. 10.33631/sabd.1115791
Vancouver	Gürü S,(Oktem) Uzer B,Demir H,ESFER S,Karamercan M A rare stroke: Cerebral Venous-Sinus Thrombosis; A Case Series Analysis Presented to Emergency Department and Review of the Literature. Sağlık bilimlerinde değer (Online). 2022; 12(2): 372 - 377. 10.33631/sabd.1115791
IEEE	Gürü S,(Oktem) Uzer B,Demir H,ESFER S,Karamercan M "A rare stroke: Cerebral Venous-Sinus Thrombosis; A Case Series Analysis Presented to Emergency Department and Review of the Literature." Sağlık bilimlerinde değer (Online), 12, ss.372 - 377, 2022. 10.33631/sabd.1115791
ISNAD	Gürü, Selahattin vd. "A rare stroke: Cerebral Venous-Sinus Thrombosis; A Case Series Analysis Presented to Emergency Department and Review of the Literature". Sağlık bilimlerinde değer (Online) 12/2 (2022), 372-377. https://doi.org/10.33631/sabd.1115791