Тромбоз мозговых вен: от факторов риска до реканализации и клинических исходов
Тромбоз мозговых вен: от факторов риска до реканализации и клинических исходов
Батенькова Т.Ю. Тромбоз мозговых вен: от факторов риска до реканализации и клинических исходов. Consilium Medicum. 2024;26(2):117–124. DOI: 10.26442/20751753.2024.2.202603
Batenkova TYu. Cerebral vein thrombosis: from risk factors to recanalization and clinical outcomes. A review. Consilium Medicum. 2024;26(2):117–124. DOI: 10.26442/20751753.2024.2.202603
Тромбоз мозговых вен: от факторов риска до реканализации и клинических исходов
Батенькова Т.Ю. Тромбоз мозговых вен: от факторов риска до реканализации и клинических исходов. Consilium Medicum. 2024;26(2):117–124. DOI: 10.26442/20751753.2024.2.202603
Batenkova TYu. Cerebral vein thrombosis: from risk factors to recanalization and clinical outcomes. A review. Consilium Medicum. 2024;26(2):117–124. DOI: 10.26442/20751753.2024.2.202603
Тромбоз мозговых вен, или церебральный венозный тромбоз (ЦВТ) – это редкое цереброваскулярное заболевание и неспецифический тип инсульта, на долю которого приходится 0,5–1% всех случаев инсульта. ЦВТ чаще встречается у женщин, чем у мужчин. Это связано с наличием таких факторов риска, как беременность, послеродовой период и использование оральных контрацептивов. Клинические симптомы возникают в результате повышения внутричерепного давления, вызванного нарушением венозного оттока и повреждением головного мозга. ЦВТ связан с широким спектром клинических симптомов от изолированных головных болей (наиболее частый симптом при поступлении, регистрируемый в 90% случаев) до фокальных дефицитов, судорог и изменений психического статуса. Диагноз ЦВТ считается одним из самых ошибочно диагностируемых в клинической неврологии, поскольку его гетерогенное проявление может быть как у молодых, так и у пожилых людей. Тщательный сбор анамнеза с прицельным выявлением факторов риска, проведение полноценной диагностики и лечения способствуют достижению благоприятного клинического исхода у пациентов. Акцент в статье сделан на степени реканализации ЦВТ, оценке венозных коллатералей по степени Qureshi и клинических исходах в зависимости от факторов риска. Эти показатели мало изучены в настоящее время.
Cerebral vein thrombosis or cerebral venous thrombosis (CVT) is a complex venous thromboembolic disease with a different clinical picture, etiology and multiple potential complications. The frequency of occurrence is 0.5–1% of all stroke cases. Clinical symptoms occur as a result of increased intracranial pressure caused by a violation of venous outflow and brain damage. CVT is associated with a wide range of clinical symptoms from isolated headaches (the most common symptom on admission, registered in 90% of cases) to focal deficits, seizures and changes in mental status. Careful collection of anamnesis with targeted identification of risk factors, full-fledged diagnosis and treatment contribute to achieving a favorable clinical outcome in patients. The article focuses on the degree of recanalization of cerebral venous thrombosis, assessment of venous collaterals according to the degree of Qureshi and clinical outcomes depending on risk factors. These indicators are little studied at present.
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2023;14:303-8. DOI:10.2147/JBM.S399661
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2015;26(4):368-72. DOI:10.1097/MBC.0000000000000249
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2017;26(8):1848-57. DOI:10.1016/j.jstrokecerebrovasdis.2017.04.020
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DOI:10.1007/s11940-023-00752-9
20. Huang P. Rare cause of cerebral venous sinus thrombosis: Spontaneous intracranial hypotension syndrome: A case report. World J Clin Cases. 2023;11(19):4677-83. DOI:10.12998/wjcc.v11.i19.4677
21. Chen YC, Chang CW, Wu HC, et al. Clinical Characteristics and Prognostic Factors of Non-Infectious Cerebral Venous Sinus Thrombosis. J Clin Med. 2022;11(20):6096. DOI:10.3390/jcm11206096
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23. Pongmoragot J, Saposnik G. Intracerebral Hemorrhage from Cerebral Venous Thrombosis. Curr Atheroscler Rep. 2012;14(4):382-9. DOI:10.1007/s11883-012-0260-1
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2008;39(4):1152-8. DOI:10.1161/STROKEAHA.107.487363
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2023;1(2):60-71. DOI:10.54646/bijnn.2023.09
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1. Medicherla CB, Pauley RA, de Havenon A, et al. Cerebral Venous Sinus Thrombosis in the COVID-19 Pandemic. J Neuroophthalmol. 2020;40(4):457-62. DOI:10.1097/WNO.0000000000001122
2. Amalia L. D-Dimer Level Associated with Amount of Sinus involvement Using Digital Subtraction Angiography on Cerebral Venous Thrombosis Patients. J Blood Med.
2023;14:303-8. DOI:10.2147/JBM.S399661
3. Theologou R, Nteveros A, Artemiadis A, Faropoulos K. Rare Causes of Cerebral Venus Sinus Thrombosis: A Systematic Review. Life. 2023;13(5):1178. DOI:10.3390/life13051178
4. Canedo-Antelo M, Baleato-González S, Mosqueira AJ, et al. Radiologic Clues to Cerebral Venous Thrombosis. Radiographics. 2019;39(6):1611-28. DOI:10.1148/rg.2019190015
5. Wei H, Jiang H, Zhou Y, et al. Intracranial hypertension after cerebral venous thrombosis–Risk factors and outcomes. CNS Neurosci Ther. 2023;29(9):2540-7. DOI:10.1111/cns.14194
6. Fan Y, Yu J, Chen H, et al. Chinese Stroke Association guidelines for clinical management of cerebrovascular disorders: executive summary and 2019 update of clinical management of cerebral venous sinus thrombosis. Stroke Vasc Neurol. 2020;5(2):152-8. DOI:10.1136/svn-2020-000358
7. Silvis SM, de Sousa DA, Ferro JM, Coutinho JM. Cerebral venous thrombosis. Nat Rev Neurol. 2017;13(9):555-65. DOI:10.1038/nrneurol.2017.104
8. Zenobia E, Lailiyya N, Dian S, et al. Platelet Selectin Levels in Patients with Cerebral Venous Sinus Thrombosis: Preliminary Findings. J Blood Med. 2023;14:359-65. DOI:10.2147/JBM.S405975
9. Sader N, de Lotbinière-Bassett M, Tso MK, Hamilton M. Management of Venous Sinus Thrombosis. Neurosurg Clin N Am. 2018;29(4):585-94. DOI:10.1016/j.nec.2018.06.011
10. Ulivi L, Squitieri M, Cohen H, et al. Cerebral venous thrombosis: a practical guide. Pract Neurol. 2020;20(5):356-67. DOI:10.1136/practneurol-2019-002415
11. Zuurbier SM, Hiltunen S, Tatlisumak T, et al. Admission Hyperglycemia and Clinical Outcome in Cerebral Venous Thrombosis. Stroke. 2016;47(2):390-6. DOI:10.1161/STROKEAHA.115.011177
12. Hung SH, Lin HC, Chung SD. Association between venous thromboembolism and iron-deficiency anemia: a population-based study. Blood Coagul Fibrinolysis.
2015;26(4):368-72. DOI:10.1097/MBC.0000000000000249
13. Liu K, Song B, Gao Y, et al. Long-Term Outcomes in Patients with Anemia And Cerebral Venous Thrombosis. Neurocrit Care. 2018;29(3):463-8. DOI:10.1007/s12028-018-0544-6
14. Azizi N, Maghbooli M, Rostami M, Kian S. Serum Levels of Ferritin, Iron, and TIBC in Cerebral Venous Sinus Thrombosis. Arch Neurosci. 2023;10(2). DOI:10.5812/ans-134857
15. Barboza MA, Mejias C, Colin-Luna J, et al. Intracranial venous collaterals in cerebral venous thrombosis: clinical and imaging impact. J Neurol Neurosurg Psychiatry. 2015;86(12):1314-8. DOI:10.1136/jnnp-2014-309717
16. Song S, Lan D, Wu XQ, Meng R. The clinical characteristic, diagnosis, treatment, and prognosis of cerebral cortical vein thrombosis: a systematic review of 325 cases. J Thromb Thrombolysis. 2021;51(3):734-40. DOI:10.1007/s11239-020-02229-x
17. Duman T, Uluduz D, Midi I, et al. A Multicenter Study of 1144 Patients with Cerebral Venous Thrombosis: The VENOST Study. J Stroke Cerebrovasc Dis.
2017;26(8):1848-57. DOI:10.1016/j.jstrokecerebrovasdis.2017.04.020
18. Lindgren E, Krzywicka K, de Winter MA, et al. A scoring tool to predict mortality and dependency after cerebral venous thrombosis. Eur J Neurol. 2023;30(8):2305-14.. DOI:10.1111/ene.15844
19. Begley SL, White TG, Katz JM. Cerebral Venous Thrombosis: Medical Management vs. Endovascular Therapy. Curr Treat Options Neurol. 2023;25(8):1-17.
DOI:10.1007/s11940-023-00752-9
20. Huang P. Rare cause of cerebral venous sinus thrombosis: Spontaneous intracranial hypotension syndrome: A case report. World J Clin Cases. 2023;11(19):4677-83. DOI:10.12998/wjcc.v11.i19.4677
21. Chen YC, Chang CW, Wu HC, et al. Clinical Characteristics and Prognostic Factors of Non-Infectious Cerebral Venous Sinus Thrombosis. J Clin Med. 2022;11(20):6096. DOI:10.3390/jcm11206096
22. Pasricha SV, Bhayana R, Wu PE. Supine headache and papilledema: A case and review of cerebral venous sinus thrombosis. Clin Case Rep. 2023;11(5):e07329. DOI:10.1002/ccr3.7329
23. Pongmoragot J, Saposnik G. Intracerebral Hemorrhage from Cerebral Venous Thrombosis. Curr Atheroscler Rep. 2012;14(4):382-9. DOI:10.1007/s11883-012-0260-1
24. Coutinho JM, Zuurbier SM, Stam J. Declining Mortality in Cerebral Venous Thrombosis: A Systematic Review. Stroke. 2014;45(5):1338-41. DOI:10.1161/STROKEAHA.113.004666
25. Sachdeva V, Nalawade R, Kannam M, et al. Clinical profile, diagnostic challenges, and outcomes in subacute/chronic cerebral sinus venous thrombosis. Indian J Ophthalmol. 2021;69(12):3598. DOI:10.4103/ijo.IJO_96_21
26. Afifi K, Bellanger G, Buyck PJ, et al. Features of intracranial hemorrhage in cerebral venous thrombosis. J Neurol. 2020;267(11):3292-8. DOI:10.1007/s00415-020-10008-0
27. Kumral E, Polat F, Uzunköprü C, et al. The clinical spectrum of intracerebral hematoma, hemorrhagic infarct, non-hemorrhagic infarct, and non-lesional venous stroke in patients with cerebral sinus-venous thrombosis: The clinical/neuroradiological spectrum of cerebral sinus-vein thrombosis. Eur J Neurol. 2012;19(4):537-43. DOI:10.1111/j.1468-1331.2011.03562.x
28. Mahale R, Mehta A, John AA, et al. Acute seizures in cerebral venous sinus thrombosis: What predicts it? Epilepsy Res. 2016;123:1-5. DOI:10.1016/j.eplepsyres.2016.01.011
29. Uluduz D, Midi I, Duman T, et al. Epileptic seizures in cerebral venous sinus thrombosis: Subgroup analysis of VENOST study. Seizure. 2020;78:113-7. DOI:10.1016/j.seizure.2020.02.017
30. Ferro JM, Canhão P, Bousser MG, et al. Early Seizures in Cerebral Vein and Dural Sinus Thrombosis: Risk Factors and Role of Antiepileptics. Stroke.
2008;39(4):1152-8. DOI:10.1161/STROKEAHA.107.487363
31. García-Azorín D, Monje MHG, González-García N, et al. Presence of red flags in patients with cerebral venous sinus thrombosis admitted to the emergency department because of headache: A STROBE compliant cohort-study. Medicine (Baltimore). 2020;99(29):e20900. DOI:10.1097/MD.0000000000020900
32. Ferro JM, Bousser MG, Canhão P, et al. European Stroke Organization guideline for the diagnosis and treatment of cerebral venous thrombosis – Endorsed by the European Academy of Neurology. Eur Stroke J. 2017;2(3):195-221. DOI:10.1177/2396987317719364
33. Kharbat AF, Michel M, Morgan R, et al. Intracranial venous sinus thrombosis: Medical and surgical management considerations. BOHR Int J Neurol Neurosci.
2023;1(2):60-71. DOI:10.54646/bijnn.2023.09
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Авторы
Т.Ю. Батенькова*
ГАУЗ СО «Свердловская областная клиническая больница №1», Екатеринбург, Россия
*tuska-9494@yandex.ru
________________________________________________
Tatiana Yu. Batenkova*
Sverdlovsk Regional Clinical Hospital №1, Yekaterinburg, Russia
*tuska-9494@yandex.ru