Skip to main content
. 2023 Jan 18;2023(1):omac154. doi: 10.1093/omcr/omac154

Table 1.

Demographics, clinical presentation, treatment and outcomes in patients with CVST post-vector-based SARS-CoV2 vaccines administration

Author Age and gender Presenting symptoms Duration between vaccination and symptom onset Administered vaccine Lowest platelet count (109/L) Clotting screen on admission Peak D-Dimer levels PF4 antibody ELISA Neuroimaging findings Extracranial thrombosis Treatment Residual neurologic deficits
Our case report 28 M Headache Blurry vision Diplopia Photophobia 10 days Ad26.COV2.S 63 PT: 18.3 INR: 1.5 APTT: 36.3 22 546 Positive Thrombosis of superior sagittal and right transverse sinuses, and right IJV Right segmental and subsegmental PE, Right hepatic vein thrombosis Argatroban, dabigatran, and IVIG Recovery with no residual neurologic deficits
Graf 29 M Headache Aphasia Apraxia 9 days ChAdOx1 nCoV-19 32 NA 65.7 NA Left transverse, sigmoid sinuses and IJV thrombosis, Temporo-parietal ICH Mesenteric and portal vein thrombosis Argatroban and IVIG Aphasia improved
Soleimani 34 M Headache Photophobia Hemiparesis 13 days ChAdOx1 nCoV-19 23 PT: 14.8 INR: 1.5 APTT: 23.9 37 293 Positive Superior sagittal, bilateral transverse sinuses, and left vein of Trolard thrombosis, Right sided midline shit and uncal herniation Right lower lobe segmental PE PLEX, IVIG, argatroban, decompressive hemicraniectomy Right hemiparesis and aphasia
Soleimani 59 F Headache Hemiparesis Sensory loss Neglect Seizure 14 days ChAdOx1 nCoV-19 18 PT: 14.5 INR: 1.2 APTT: 24.4 38 588 Positive Superior sagittal and right transverse sinus thrombosis, Frontal hematoma and midline shift. Thrombosed right hepatic vein and right lower lobe pulmonary emboli IVIG, IVSM, argatroban, and decompressive hemicraniectomy Left hemiparesis
Soleimani 39 F Headache Photophobia 10 days ChAdOx1 nCoV-19 63 PT: 15.1 INR: 1.1 APTT: 33.2 20 289 Negative Left transverse, sigmoid, and sagittal sinuses and jugular venous thrombosis None IVSM, PLEX and argatroban None
Zanferrari 40 F Headache Aphasia Hemiparesis 8 days ChAdOx1 nCoV-19 27 APTT: 24.9 27 546 Positive Left sigmoid, transverse rectus and inferior longitudinal sinuses thrombosis None Fondaparinux and IVIG None
Castelli 50 M Headache Vision loss Hemiparesis 11 days ChAdOx1 nCoV-19 20 NA >10 000 Negative Left hemisphere ICH, and lack of opacification of the left transverse and sigmoid sinuses, Uncal herniation None Bilateral decompressive craniectomy Death
De Michele 57 W Hemiparesis Gaze deviation Dysarthria Neglect 9 days ChAdOx1 nCoV-19 23 NA elevated Positive Right MCA infarct None IV steroids IVIG Decompressive craniectomy Critical condition
De Michele 55 W Aphasia Hemiparesis Seizures Coma Abdominal pain 10 days ChAdOx1 nCoV-19 59 NA elevated Positive Right ICA and bilateral MCA occlusion, Uncal herniation Portal vein thrombosis, Left lower lobe subsegmental PE IVIG, and IV steroid Death

(Continued)