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ISSN: 1935-1232 (P)

ISSN: 1941-2010 (E)

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Abstract

Clinical Symptoms and Radiologic Modalities of Cerebral Venous Thrombosis, Intracranial Congestion and Venous Ischemic Stroke. Part I (Clinical). Review
Author(s): S.E. Semenov

Narrative review consists of two parts, the first of which provides a brief description of the clinical manifestations of a rare disease Cerebral Venous Thrombosis (CVT) based on expert opinion and our experience. In cases of a chronic course of the disease, polymorphism of symptoms often does not lead to a reliable diagnosis. Clinically, it can manifest itself for a long time as progressive venous encephalopathy at the time of the stroke or without. In cases of venous stroke, when the manifestation occurs acutely or subacutely, it is also not easy to distinguish the venous genesis of the stroke from the arterial one. The most supporting the hypothesis of congestive venous plethora in the brain with CVT were characteristic clinical symptoms: predominantly presents in the young (an average 34.64 ± 14.66 years), subacute development and course of the disease in 56% cases, headache in 90%, epilepsy up to 40% of cases, papilledema optic disc in 20% to 40%, increase of central venous pressure (up to 140-190 mm H2O). In addition, chronic headache with CVT can accompany psychopathological states