Clinical Experience on Dural Sinus Thrombosis

J Korean Neurol Assoc > Volume 13(2); 1995 > Article

Journal of the Korean Neurological Association 1995;13(2): 199-206.

경막정맥동 혈전증의 임상경험

이준홍, 김정연, 석승한, 이병인, 허 균

연세대학교 신경과, 아주대학교 신경과

Clinical Experience on Dural Sinus Thrombosis

Joon Hong Lee, M.D., Jeong Yeon Kim, M.D., Seung Han Suk, M.D., Beung In Lee, M.D., Kyoon Huh, M.D.

Department of Neurology, College of Medicine Yonsei University and Ajou University

Abstract

Cerebral dural sinus thro-bosis(DST) has been described as a rare and severe disease, clinically characterized by headache, papiliedema, seizures, focal deficits,progressive coma and even to death With the, advances ih diagnostic tools particularly MRI, DST is more commonly detected and index of suspicion is being increased. In order to characterize clinical features of DST that has been rarely reported in this country, we investigate a series of 14 patients with radiologically cerebral dural sinus thrombosis. It showed a highly variable mode of onset, diverse causes and unpredictable clinical courses. DST consists of heterogenous disease entities, with more broad spectrum of clinical presentation. Outcome was felt to be rather favorable than previously thought. Therefore, early consideration of the possibility, proper neuroimaging diagnosis and appropriate therapeutic trial on individual basis is recommended in the management of DST.