Assessment of Patients with Intracerebral Hemorrhage or Hemorrhagic Transformation in the VENOST Study

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dc.contributor.authorDuman, Taskin
dc.contributor.authorYayla, Vildan
dc.contributor.authorUluduz, Derya
dc.contributor.authorGoksu, Eylem Ozaydin
dc.contributor.authorYurekli, Vedat Ali
dc.contributor.authorGenc, Hamit
dc.contributor.authorUtku, Uygar
dc.date.accessioned2024-02-23T14:26:40Z
dc.date.available2024-02-23T14:26:40Z
dc.date.issued2021
dc.departmentNEÜen_US
dc.description.abstractIntroduction: Cerebral venous and sinus thrombosis (CVST) may lead to cerebral edema and increased intracranial pressure; besides, ischemic or hemorrhagic lesions may develop. Intracerebral hemorrhages occur in approximately one-third of CVST patients. We assessed and compared the findings of the cerebral hemorrhage (CH) group and the CVST group. Materials and Methods: In the VENOST study, medical records of 1,193 patients with CVST, aged over 18 years, were obtained from 35 national stroke centers. Demographic characteristics, clinical symptoms, signs at the admission, radiological findings, etiologic factors, acute and maintenance treatment, and outcome results were reported. The number of involved sinuses or veins, localizations of thrombus, and lesions on CT and MRI scans were recorded. Results: CH was detected in the brain imaging of 241 (21.1%) patients, as hemorrhagic infarction in 198 patients and intracerebral hemorrhage in 43 patients. Gynecologic causes comprised the largest percentage (41.7%) of etiology and risk factors in the CVST group. In the CH group, headache associated with other neurological symptoms was more frequent. These neurological symptoms were epileptic seizures (46.9%), nausea and/or vomiting (36.5%), altered consciousness (36.5%), and focal neurological deficits (33.6%). mRS was >= 3 in 23.1% of the patients in the CH group. Discussion and Conclusion: CVST, an important cause of stroke in the young, should be monitored closely if the patients have additional symptoms of headache, multiple sinus involvement, and CH. Older age and parenchymal lesion, either hemorrhagic infarction or intracerebral hemorrhage, imply poor outcome.en_US
dc.identifier.doi10.1159/000510627
dc.identifier.endpage621en_US
dc.identifier.issn0014-3022
dc.identifier.issn1421-9913
dc.identifier.issue6en_US
dc.identifier.pmid33130674en_US
dc.identifier.scopus2-s2.0-85095883097en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage615en_US
dc.identifier.urihttps://doi.org/10.1159/000510627
dc.identifier.urihttps://hdl.handle.net/20.500.12452/14286
dc.identifier.volume83en_US
dc.identifier.wosWOS:000614770900007en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherKargeren_US
dc.relation.ispartofEuropean Neurologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCerebral Venous Thrombosisen_US
dc.subjectVenosten_US
dc.subjectCerebral Hemorrhageen_US
dc.titleAssessment of Patients with Intracerebral Hemorrhage or Hemorrhagic Transformation in the VENOST Studyen_US
dc.typeArticleen_US

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