TABLE 2. Clinical presentation, methods of treatment, and outcome in patients with acute thrombosis of cerebral sinuses and veins.
Case | Age (years) | Sex | Site of venous occlusion | Days from onset to admission | Clinical presentation | Grade of papilloedema OU | Visual acuity OD/OS | Visual field OU | Treatment | Outcome |
---|---|---|---|---|---|---|---|---|---|---|
1 | 42 | M | SSS, 2LS | 12 | Intracranial hypertension, papilloedema | Moderate + H | 1.0/1.0 | Normal | A, T (not successful), LPS | Normalisation of intracranial pressure |
2 | 22 | F | SSS | 10 | Intracranial hypertension, papilloedema, hemiparesis | Marked + H | 1.0/1.0 | Enlarged blind spot | AC, T | Recanalisation of the sinuse, normalisation of the intracranial pressure |
3 | 31 | F | SSS, 2LS, 2IJV | 14 | Intracranial hypertension, papilloedema | Moderate | 1.0/1.0 | Normal | AC, T | Recanalisation of the sinuses, normalisation of the intracranial pressure |
4 | 30 | M | SSS, 2LS, CS | 4 | Intracranial hypertension | Normal | 1.0/1.0 | Normal | AC, T | Recanalisation of the sinuses, normalisation of the intracranial pressure |
5 | 37 | F | 2LS, right S | 8 | Intracranial hypertension, papilloedema | Marked + H | 1.0/1.0 | Enlarged blind spot | AC, T | Recanalisation of the sinuses, normalisation of the intracranial pressure |
6 | 26 | F | SSS, right LS | 10 | Intracranial hypertension, papilloedema, sixth nerve palsy | Marked + H | 1.0/1.0 | Enlarged blind spot | AC, T | Recanalisation of the sinuses, normalisation of the intracranial pressure |
7 | 36 | M | SSS, right LS, right S | 10 | Intracranial hypertension, papilloedema, confusion | Moderate | 1.0/1.0 | Normal | AC, T | Recanalisation of the sinuses, normalisation of the intracranial pressure |
8 | 33 | F | SSS, 2LS | 7 | Intracranial hypertension, papilloedema | Moderate | 1.0/1.0 | Normal | AC, T | Recanalisation of the sinuses, normalisation of the intracranial pressure |
9 | 37 | M | SSS, right LS | 7 | Intracranial hypertension, papilloedema, confusion | Low degree | 1.0/1.0 | Normal | AC, T | Recanalisation of the sinuses, normalisation of the intracranial pressure |
10 | 15 | F | SSS | 3 | Intracranial hypertension, hemiparesis, seizures | Normal | 1.0/1.0 | Normal | AC, T | Recanalisation of the sinuse, normalisation of the intracranial pressure |
11 | 21 | M | SS, right LS | 14 | Intracranial hypertension | Normal | 1.0/1.0 | Normal | AC | Recanalisation of the sinuses, normalisation of the intracranial pressure |
12 | 33 | F | SSS | 7 | Intracranial hypertension, papilloedema, sixth nerve palsy | Moderate | 1.0/1.0 | Normal | AC | Recanalisation of the sinuse, normalisation of the intracranial pressure |
13 | 35 | F | SSS, left LS, left S | 9 | Intracranial hypertension, papilloedema, hemiparesis, sixth nerves palsy | Low degree + H | 1.0/1.0 | Normal | AC | Recanalisation of the sinuses, normalisation of the intracranial pressure |
14 | 23 | F | SSS | 14 | Intracranial hypertension, papilloedema, visual impairment of the left eye | Marked + H + macular H | 1.0/001 | OD: normal OS: central scotoma | AC, S, acetazolamide | Recanalisation of the sinuse, normalisation of the intracranial pressure, improvement of visual functions |
15 | 19 | F | SSS | 10 | Intracranial hypertension, papilloedema, sixth nerve palsy | Marked + H | 1.0/1.0 | Enlarged blind spot | A, T, acetazolamide | Recanalisation of the sinuse, normalisation of the intracranial pressure |
SS = superior sagittal sinus; LS = lateral sinus; SS = straight sinus; S = sigmoid sinus; IJV = internal jugular vein; CS = confluence of the sinuses; H = haemorrhages; AC = anticoagulants; T = local endovascular thrombolysis; LPS = lumboperitoneal shunting; S = steroids.