Skip to main content
. 2014 Nov 24;39(2):69–76. doi: 10.3109/01658107.2014.953697

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.