Correlation of delayed diagnosis of cerebral venous sinus thrombosis with its clinical symptoms and prognosis
10.16571/j.cnki.1008-8199.2017.06.012
- VernacularTitle:诊断时间延迟对颅内静脉窦血栓形成患者临床特征及预后相关性的影响
- Author:
Yusheng LI
;
Ting HU
;
Xiaoyun LIU
;
Zhenhui DUAN
;
Rui SUN
;
Wusheng ZHU
- Keywords:
Cerebral venous sinus thrombosis;
Diagnostic delay;
Prognosis
- From:
Journal of Medical Postgraduates
2017;30(6):615-618
- CountryChina
- Language:Chinese
-
Abstract:
Objective Cerebral venous sinus thrombosis (CVST) is easily misdiagnosed for lack of specificity in its pathogenesis and clinical symptoms and characteristics.This study was to investigate the association of the clinical features of CVST with the time of diagnosis and the impact of diagnostic delay on the prognosis of the disease.Methods We retrospectively studied the clinical data about 94 cases of CVST treated in our hospital from March 2004 to August 2016.According to the interquartile-range time of diagnosis, we divided the patients into four groups, <5 d, 5-9 d, 10-16 d, and >16 d, and analyzed the correlation between the time of diagnostic delay with the clinical characteristics of the patients.The primary and secondary endpoints were the modified Rankin Scale score (mRS) ≤1 and ≤2 respectively at 3 months after discharge.Results Papilledema, isolated intracranial hypertension syndrome, and Glasgow Coma Score of 14-15 were associated with a longer diagnostic delay than seizure and hemorrhagic or infarction lesions (P<0.05).A significantly higher rate of earlier diagnosis was found in patients with lower levels of albumin and total protein, longer thrombin time, and a higher level of C-reaction protein (P<0.05).However, no significant correlation was observed between the time of diagnostic delay and the prognosis CVST.Conclusion The symptoms and laboratory indexes of the CVST patients at admission can be used as markers for the diagnosis of CVST, which may provide some new idea for its early diagnosis.
