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Features of intracr...
Features of intracranial hemorrhage in cerebral venous thrombosis
- Article/chapterEnglish2020
Publisher, publication year, extent ...
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2020-06-22
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Springer Science and Business Media LLC,2020
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LIBRIS-ID:oai:gup.ub.gu.se/294808
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https://gup.ub.gu.se/publication/294808URI
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https://doi.org/10.1007/s00415-020-10008-0DOI
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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Background Cerebral venous thrombosis (CVT) is associated with intracranial hemorrhage. Aim To identify clinical and imaging features of CVT-associated intracranial hemorrhage. We hypothesized that higher clot burden would be associated with a higher risk of intracranial hemorrhage. Methods We performed a retrospective analysis of an international, multicenter cohort of patients with confirmed cerebral venous thrombosis who underwent computed tomography within 2 weeks of symptom onset. Clinical and imaging features were compared between patients with and without intracranial hemorrhage. Clot burden was assessed by counting the number of thrombosed venous sinuses and veins on confirmatory imaging. Results We enrolled 260 patients from 10 institutions in Europe and Mexico. The mean age was 42 years and 74% were female. Intracranial hemorrhage was found in 102 (39%). Among them parenchymal hemorrhage occurred in 64 (63%), in addition, small juxta-cortical hemorrhage was found in 30 (29%), subarachnoid hemorrhage in 24 (24%) and subdural hemorrhage in 11 (11%). Multiple concomitant types of hemorrhage occurred in 23 (23%). Older age and superior sagittal thrombosis involvement were associated with presence of hemorrhage. The number of thrombosed venous sinuses was not associated with intracranial hemorrhage (median number IQRInterquartile ratio] of sinuses/veins involved with hemorrhage 2 (1-3) vs. 2 (1-3) without hemorrhage,p = 0.4). Conclusion The high rate of intracranial hemorrhage in cerebral venous thrombosis is not explained by widespread involvement of the venous sinuses. Superior sagittal sinus involvement is associated with higher bleeding risk.
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Bellanger, G.
(author)
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Buyck, P. J.
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Zuurbier, S. M.
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Esperon, C. G.
(author)
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Barboza, M. A.
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Costa, P.
(author)
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Escudero, I.
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Renard, D.
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Lemmens, R.
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Hinteregger, N.
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Fazekas, F.
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Conde, J. J.
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Giralt-Steinhauer, E.
(author)
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Hiltunen, S.
(author)
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Arauz, A.
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Pezzini, A.
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Montaner, J.
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Putaala, J.
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Weimar, C.
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Schlamann, M.
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Gattringer, T.
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Tatlisumak, TurgutGothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi,Institute of Neuroscience and Physiology(Swepub:gu)xtatlt
(author)
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Coutinho, J. M.
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Demaerel, P.
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Thijs, V.
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Göteborgs universitetInstitutionen för neurovetenskap och fysiologi
(creator_code:org_t)
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In:Journal of Neurology: Springer Science and Business Media LLC267, s. 3292-32980340-53541432-1459
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Afifi, K.
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Bellanger, G.
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Buyck, P. J.
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Zuurbier, S. M.
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Esperon, C. G.
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Barboza, M. A.
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show more...
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Costa, P.
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Escudero, I.
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Renard, D.
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Lemmens, R.
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Hinteregger, N.
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Fazekas, F.
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Conde, J. J.
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Giralt-Steinhaue ...
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Hiltunen, S.
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Arauz, A.
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Pezzini, A.
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Montaner, J.
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Putaala, J.
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Weimar, C.
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Schlamann, M.
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Gattringer, T.
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Tatlisumak, Turg ...
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Coutinho, J. M.
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Demaerel, P.
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Thijs, V.
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- MEDICAL AND HEALTH SCIENCES
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and Basic Medicine
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and Neurosciences
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Journal of Neuro ...
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University of Gothenburg