Epileptic seizures in cerebral venous sinus thrombosis: Subgroup analysis of VENOST study

Autor: Birsen Ince, Serkan Demir, Seden Demirci, Hamit Genc, Hakan Ekmekçi, Hesna Bektas, Gülnur Tekgöl Uzuner, Bijen Nazliel, Taskin Gunes, Nevzat Uzuner, Uygar Utku, Taskin Duman, Ozge Yilmaz Kusbeci, Nilgun Cinar, Mustafa Bakar, Hakan Tekeli, Ahmet Tufekci, Nida Tascilar, Ali Yavuz Karahan, Derya Uluduz, Vedat Ali Yürekli, Hayriye Kucukoglu, Dilek Necioglu Orken, Eylem Ozaydin Goksu, Nilufer Yesilot, Mustafa Acikgoz, Ipek Midi, Hasan Hüseyin Kozak, Arda Yilmaz, Mustafa Gokce, Mehmet Ali Sungur, Hale Zeynep Batur Caglayan, Firdevs Ezgi Ucan Tokuc, Sena Colakoglu, Nazire Afsar, Necdet Mengulluoglu, Serdar Oruc, Yüksel Kablan, Ufuk Aluclu, Baki Göksan, Fatih Ozdag, Aysel Milanlioglu, Mehmet Yaman, Murat Cabala, Osman Özgür Yalın, Fusun Mayda Domac, Vildan Yayla, Cemile Handan Misirli, Başak Karakurum Göksel, Hatice Kurucu, Sevim Baybaş, Şerefnur Öztürk, Sevki Sahin, Mehmet Güney Şenol, Emrah Aytaç
Přispěvatelé: Uluduz, Derya, Midi, Ipek, Duman, Taskin, Yayla, Vildan, Karahan, Ali Yavuz, Afsar, Nazire, Goksu, Eylem Ozaydin, Mengulluoglu, Necdet, Aytac, Emrah, Sungur, Mehmet Ali, Yesilot, Nilufer, Ince, Birsen, Yalin, Osman Ozgur, Oruc, Serdar, Senol, Mehmet Guney, Yilmaz, Arda, Gokce, Mustafa, Demirci, Seden, Kusbeci, Ozge Yilmaz, Uzuner, Gulnur, Caglayan, Hale Zeynep Batur, Acikgoz, Mustafa, Kurucu, Hatice, Ozdag, Fatih, Baybas, Sevim, Ekmekci, Hakan, Cabala, Murat, Yaman, Mehmet, Yurekli, Vedat Ali, Tekeli, Hakan, Genc, Hamit, Utku, Uygar, Sahin, Sevki, Tokuc, Firdevs Ezgi Ucan, Uzuner, Nevzat, Bektas, Hesna, Kablan, Yuksel, Goksel, Basak Karakurum, Milanlioglu, Aysel, Orken, Dilek Necioglu, Aluclu, Ufuk, Colakoglu, Sena, Tufekci, Ahmet, Bakar, Mustafa, Nazliel, Bijen, Tascilar, Nida, Goksan, Baki, Kozak, Hasan Huseyin, Demir, Serkan, Misirli, Cemile Handan, Kucukoglu, Hayriye, Cinar, Nilgun, Domac, Fusun Mayda, Ozturk, Serefnur, Gunes, Taskin, Maltepe Üniversitesi, Tıp Fakültesi, [Belirlenecek], Acibadem University Dspace, Bursa Uludağ Üniversitesi/Tıp Fakültesi/Nöroloji Anabilim Dalı., EKN-8251-2022
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Neurologic disease
Pediatrics
Focal neurologic deficit
Oral contraceptive agent
Cerebral venous sinus thrombosis
Cerebral hemorrhage
Epilepsy
0302 clinical medicine
Observational study
Middle aged
Cerebrovascular disease
Priority journal
Medical parameters
Brain radiography
General Medicine
Brain hemorrhage
Prognosis
Seizure
Thrombosis
Multicenter study
Clinical trial
Nuclear magnetic resonance imaging
Retrospective study
PUERPERIUM
PREGNANCY
Neurology
Brain vein
Clinical neurology
Cohort
Cerebral infarction
Subgroup analysis
Female
Cohort analysis
Infection
Sinus thrombosis
intracranial

Brain infarction
Human
Adult
medicine.medical_specialty
Family history
Early seizure
Neuroimaging
Consciousness disorders
Major clinical study
Neurosciences & neurology
Pathophysiology
Article
Cortical vein
03 medical and health sciences
Magnetic resonance imaging
Age
Seizures
medicine
Humans
In patient
Prospective study
Demography
Disease duration
Cerebral Sinus Thrombosis
Vein Thrombosis
Superior Sagittal Sinus
Consciousness disorder
business.industry
Neurosciences
Methodology
VEIN
Gender
Anticonvulsive agent
medicine.disease
Retrospective studies
Malignant neoplasm
SSS
Clinical feature
Sagittal sinus thrombosis
Cerebral sinus thrombosis
RISK-FACTORS
Risk factor
Neurology (clinical)
business
Prospective studies
Controlled study
Complication
030217 neurology & neurosurgery
Popis: Çalışmada 38 yazar bulunmaktadır. Bu yazarlardan sadece Bursa Uludağ Üniversitesi mensuplarının girişleri yapılmıştır. Purpose: The aim of this study is to evaluate the presence and prognostic impact of early seizures in cerebral venous sinus thrombosis patients (CVST). Method: VENOST is a retrospective and prospective national multicenter observational study. CVST patients with or without epileptic seizures (ES) were analyzed and compared in terms of demographic and imaging data, causative factors, clinical variables, and prognosis in a total of 1126 patients. Results: The mean age of the patients in the ES group was 39.73 +/- 12.64 and 40.17 +/- 14.02 years in the non-ES group (p > 0.05). Epileptic seizures were more common (76.6 %) in females (p < 0.001). Early ES occurred in 269 of 1126 patients (23.9 %). Epileptic seizures mainly presented in the acute phase (71.4 %) of the disease (p < 0.001). Majority of these (60.5 %) were in the first 24 h of the CVST. The most common neurological signs were focal neurologic deficits (29.9 %) and altered consciousness (31.4 %) in the ES group. Superior sagittal sinus (SSS) and cortical veins (CV) involvement were the most common sites of thrombosis and the mostly related etiology were found puerperium in seizure group (30.3 % vs 13.9 %). Patients with seizures had worse outcome in the first month of the disease (p < 0.001) but these did not have any influence thereafter. Conclusions: In this largest CVST cohort (VENOST) reported female sex, presence of focal neurological deficits and altered consciousness, thrombosis of the SSS and CVs, hemorrhagic infarction were risk factors for ES occurrence in patients with CVST.
Databáze: OpenAIRE