| Title: | Early isolated subarachnoid hemorrhage versus hemorrhagic infarction in cerebral venous thrombosis |
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| Authors: | ID Kobal, Jan (Author)
ID Cankar, Ksenija (Author)
ID Ivanušič, Kristijan (Author)
ID Vudrag, Borna (Author)
ID Šurlan Popović, Katarina (Author) |
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| Files: |  URL - Source URL, visit https://www.sciendo.com/article/10.2478/raon-2022-0029
 PDF - Presentation file, download (732,93 KB)
MD5: 9E35C1441BDDC03193C3F7165554C4B2
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| Language: | English |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: |  OI - Institute of Oncology
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| Abstract: | 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. |
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| Keywords: | cerebral venous thrombosis, hemorrhagic brain infarction, subarachnoid hemorrhage |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Publication date: | 01.09.2022 |
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| Publisher: | Association of Radiology and Oncology |
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| Year of publishing: | 2022 |
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| Number of pages: | str. 303-310 |
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| Numbering: | Vol. 56, iss. 3 |
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| Source: | Ljubljana |
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| PID: | 20.500.12556/DiRROS-19795  |
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| UDC: | 616.831-005.6 |
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| ISSN on article: | 1318-2099 |
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| DOI: | 10.2478/raon-2022-0029 |
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| COBISS.SI-ID: | 118332163 |
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| Copyright: | by Authors |
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| Publication date in DiRROS: | 25.07.2024 |
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| Views: | 325 |
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| Downloads: | 172 |
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