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Risk of thromboembolism after cerebral venous thrombosis
Author(s) -
Maqueda V. M.,
Thijs V.
Publication year - 2006
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1111/j.1468-1331.2006.01211.x
Subject(s) - medicine , venous thromboembolism , venous thrombosis , thrombosis , retrospective cohort study , surgery , stroke (engine) , pediatrics , mechanical engineering , engineering
The outcome of cerebral venous thrombosis (CVT) has been studied infrequently. We assessed the frequency of recurrence of cerebral or systemic thromboembolism and factors influencing recurrence. We performed a retrospective study of consecutive patients with CVT in the period 1985–2002 who were admitted to the University Hospital Gasthuisberg. We performed a chart review and a semi‐standardized telephone interview that focused on recurrent CVT or systemic thromboembolism. Fifty‐four CVT patients with a mean age of 42 years were followed up for a mean of 3.5 years. Eighty percent were women. Coagulation disorders were found in 17 patients (31%). One patient (1.9%) had recurrent CVT and seven patients (12.9%) suffered systemic thromboembolism after a median of 2.5 months. Patients with recurrent thromboembolism more often had coagulopathies ( P = 0.04) or a history of deep venous thrombosis ( P = 0.007). Patients with early recurrent venous thromboembolism often were not treated with oral anticoagulants ( P < 0.001). It was evident from the above study that a substantial number of patients suffer recurrent thromboembolism after CVT.