ĐẶC ĐIỂM LÂM SÀNG CỦA BỆNH NHÂN HUYẾT KHỐI TĨNH MẠCH NÃO

Abstract

Objective:To describe clinical features of cerebral venous thrombosis. Subjects and methods: A prospective, descriptive study of 38 patients with cerebral venous thrombosistreated at the Department of Neurology, Bach Mai Hospital from March 2020 to June 2021. Results: The mean age was 42.4 ± 14.8, the male/female ratio was 1.2:1. The acute onset was seen in 6 patients (15.8%), subacute in 31 (81.6%) and chronic in 1 (2.6%). The main symptom  was headache (94.7%), hemiparesis (34.2%) and seizure (28.9%), disorder of consciousness (15.8%). The clinical scenario is various, in which the most common manifestation is headache with vomiting - nausea accounting for 68.4%; headache associated with hemiplegia, convulsions, and disturbances of consciousness, respectively, 39.5%; 31.6% and 28.9%. We found 60.5% without motor paralysis; 39.5% of the patients had motor paralysis, in which the most common was grade 3 and grade 4, accounting for 10.5%. Conclusions: Clinical symptoms was varied and non-specific, the main symptom was headache (94.7%), hemiparesis (34.2%) and seizure (28.9%), disorder of consciousness (15.8%). The most common manifestation was headache combined with vomiting - nausea accounting for 68.4%; headache associated with hemiplegia, convulsions, and disturbances of consciousness, respectively, with the rate of 39.5%; 31.6% and 28.9%.