Aseptic cerebral venous thrombosis: Proposed prognostic scale

F Barinagarrementeria; C Cantu; H Arredondo

doi:10.1016/S1052-3057(10)80032-1

Aseptic cerebral venous thrombosis: Proposed prognostic scale

J Stroke Cerebrovasc Dis. 1992;2(1):34-9. doi: 10.1016/S1052-3057(10)80032-1. Epub 2010 Jun 11.

Authors

F Barinagarrementeria¹, C Cantu¹, H Arredondo²

Affiliations

¹ From the Stroke Clinic, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.
² The Neuroimaging Department, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.

PMID: 26486432
DOI: 10.1016/S1052-3057(10)80032-1

Abstract

Seventy-eight patients with aseptic cerebral venous thrombosis between 1966 and 1990 were reviewed in order to determine prognostic factors for this condition. Sixty-eight patients were women. The average age of the patients was 30.5 years. Fifty-two percent of patients developed the thrombosis during the postpartum or puerperal stage. The clinical manifestations that were associated with a poor prognosis were: stupor or coma, bilateral pyramidal tract signs, generalized seizures, meningeal signs, bilateral lesions on computed tomography, and hemorrhagic cerebrospinal fluid. Using these clinical features, a prognostic scale is proposed with a positive predictive value of 0.98 for a good prognosis and 0.96 for a poor prognosis.