20.500.12556/DiRROS-19795 Early isolated subarachnoid hemorrhage versus hemorrhagic infarction in cerebral venous thrombosis Background: Cerebral venous thrombosis (CVT) is a rare cerebral vascular disease, the presentation of which is highly variable clinically and radiologically. A recent study demonstrated that isolated subarachnoid hemorrhage (iSAH) in CVT is not as rare as thought previously and may have a good prognostic significance. Hemorrhagic venous infarction, however, is an indicator of an unfavorable outcome. We therefore hypothesized that patients who initially suffered iSAH would have a better clinical outcome than those who suffered hemorrhagic cerebral infarction. Patients and methods: We selected patients hospitalized due to CVT, who presented either with isolated SAH or cerebral hemorrhagic infarction at admission or during the following 24 hours: 23 (10 men) aged 22-73 years. The data were extracted from hospital admission records, our computer data system, and the hospital radiological database. Results: The iSAH group consisted of 8 (6 men) aged 49.3 ± 16.2 and the hemorrhagic infarction group included 15 (4 men) aged 47.9 ± 16.8. Despite having a significantly greater number of thrombosed venous sinuses/deep veins (Mann-Whitney Rank Sum Test, p = 0.002), the isolated SAH group had a significantly better outcome on its modified Rankin Score (mRs) than the hemorrhagic infarction group (Mann-Whitney Rank Sum Test, p = 0.026). Additional variables of significant impact were edema formation (p = 0.004) and sulcal obliteration (p = 0.014). Conclusions: The patients who suffer iSAH initially had a significantly better outcome prognosis than the hemorrhagic infarction patients, despite the greater number of thrombosed sinuses/veins in the iSAH group. A possible explanation might include patent superficial cerebral communicating veins. cerebral venous thrombosis hemorrhagic brain infarction subarachnoid hemorrhage možganska venska tromboza hemoragičen možganski infarkt subarahnoidna krvavitev true false true Association of Radiology and Oncology Ljubljana Angleški jezik Slovenski jezik by Authors Neznano 2024-07-25 08:28:47 2024-07-25 08:28:47 2024-07-26 04:28:30 0000-00-00 00:00:00 2022 0 0 str. 303-310 iss. 3 Vol. 56 Sep. 2022 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 2022-09-01 616.831-005.6 1318-2099 10.2478/raon-2022-0029 118332163 https://www.sciendo.com/article/10.2478/raon-2022-0029 1 64455b90-4a3e-11ef-b487-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=27413 RAZ_Kobal_Jan_2022.pdf RAZ_Kobal_Jan_2022.pdf 1 9E35C1441BDDC03193C3F7165554C4B2 1a631ba1e5d2c4468d6d4b14a5b64b889cf881464859203f9a42be35c444d17a 8e6032e7-4a3e-11ef-b487-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=27414 Onkološki inštitut Ljubljana 0 0 0