In the mean time they developed cerebral venous-sinus thrombosis. Superior sagital sinus, with or without lateral sinuses, was the most involved area (70.96%). High mortality
and morbidity rates (14.51% and 35.48%, respectively) were found in patients. Poor prognostic factors at the time of admission were stupor and coma (P=0.001) and evidence of hemorrhage in primary CT scan (P=0.005). Conclusion: Taking oral contraceptive pills was a main factor associated with cerebral venous-sinus thrombosis. Clinical manifestations, prognostic factors, common involved sinuses and image findings of this study were similar to those of other Inhibitors,research,lifescience,medical studies. Health care policy makers should design a plan to warn susceptible Inhibitors,research,lifescience,medical women of the risk of cerebral venous-sinus thrombosis, and to educate them the ways to prevent it. Key Words: Intracranial sinus thrombosis, oral contraceptives, stroke Introduction Cerebral venous-sinus thrombosis (CVST) is a potential life-threatening condition that requires rapid diagnosis and urgent treatment. Its epidemiology has changed over Inhibitors,research,lifescience,medical past few decades.1 Its increasing prevalence may be attributed to not only increased
ease of diagnosis by modern imaging tools such as magnetic resonance imaging (MRI), but also to the increment of underlying causes including use of oral contraceptive pills (OCPs).1,2 Cerebral venous-sinus thrombosis Inhibitors,research,lifescience,medical seems relatively more frequent in South Asia and Middle East.1 This study aims to report demographic, etiologic, radiological and prognostic characteristics of patients with CVST in Fars province in the south of Iran. Materials and Methods The study is a retrospective analysis of medical records of 124 patients with CVST, who referred to Nemazee Hospital,
a http://www.selleckchem.com/products/Roscovitine.html teaching hospital affiliated with Shiraz University of Medical Sciences, from January 2000 to March 2008. Written informed consents were Inhibitors,research,lifescience,medical obtained from all patients. Patients with related CVST manifestations underwent cerebral MRI and magnetic resonance venography (MRV). inhibitor expert Contrast digital subtraction venography was conducted in some patients with equivocal diagnosis. Patients whose presentations could be explained better by any other neurological diseases or those whose imaging revealed congenital hypoplasia of dural sinuses were excluded. Brain and paranasal sinuses MRI, high Dacomitinib resolution computer tomography (CT) scan of chest, abdominal and pelvic organs, bone scan, and tumor marker measurement were performed to evaluate infections and malignancies. In addition to routine laboratory evaluations, sickle cell and sucrose lysis tests were done. Also, plasma concentrations of proteins C and S, and antibodies such as anticardiolipin, antinuclear, anti-double-stranded DNA and anti-beta2-glycoprotein were measured. Pathergy skin test and HLA-B51 antigen were evaluated in patients suspected to have Behcet’s disease (BD).