Clinical features of cerebral venous sinus thrombosis with initial complaints of headaches: a retrospective study of 117 cases

MA Jian-hua; LIU Ruo-zhuo; YU Sheng-yuan

doi:10.3760/cma.j.issn.1673-4777.2013.04.015

Abstract：Objective To analyze the correlation of the characteristics of headache and intracranial pressure and the site of venous sinus thrombosis in cerebral venous sinus thrombosis (CVST) patients.Methods A retrospective review of 117 CVST patients data was performed.All patients were diagnosed by digital subtraction angiography (DSA) or magnetic resonance venography (MRV).And they were divided into full headache group (77 cases) and part headache group (40 cases).Intracranial pressure and the site of thrombosis of all CVST patients were reviewed.Results ①The percentage of full headache was 65.8％ (77/117).The percentage of high,normal and low intracranial pressure were 79.5％ (93/117),7.7％ (9/117) and 12.8％ (15/117) respectively.And the percentage of multiple venous sinus,double venous sinus and single venous sinus were 44.4％ (52/117),36.7％ (43/117) and 18.8％ (22/117) respectively.②The high intracranial pressure in full headache group is higher than the part headache group.The normal intracranial pressure in full headache group is nearly same as the part headache group.The low intracranial pressure in full headache group is less than the part headache group.But there are no significant difference between groups (P ＞ 0.05).③Incidence rate of single venous sinus thrombosis in full headache group is slightly higher than the part headache group.But incidence rate of double and multiple venous sinus thrombosis in full headache group is slightly lower than the part headache group.But there is no significant difference between groups (P ＞ 0.05).Conclusions CVST patients with headache as the intial symptom mainly manifest as the full headache,multiple venous sinus thrombosis,and intracranial hypertension.If headache patients with normal intracranial pressure or intranial hypotension were encountered,we should pay more attention to the diagnosis of CVST.