TABLE 1:

Demographic data in 13 patients with CVT stroke

Patient No./Age/SexInitial SymptomsVenous SinusesIntravenous TherapyCVT CauseStatus at DischargeSeizure
1/71/FUnresponsive.Superior sagittal, L transverse.HeparinUnknownDiedNo
2/34/FHeadache, confusion, R upper extremity weakness, behavior change, fatigue, somnolence.Superior sagittal.HeparinLupus, vitamin B12 deficiencyNormalYes
3/39/ML Hemiplegia, headache, nausea.Superior sagittal, B transverse, R straight, R cortical.Heparin, urokinaseUnknownSlight L facial droop, upper extremity weakness, pronator drift.Yes
4/25/FHeadache, L upper extremity weakness.Superior sagittal, R transverse.HeparinOral contraceptivesImproved headache, weakness resolved.No
5/24/FHeadache.Superior sagittal, B deep.HeparinUnknownUnknownNo
6/30/FHeadache, L hand weakness, memory and speech difficulties.Superior sagittal straight, R transverse, R internal cerebral.Urokinase, heparinMetastatic choriocarcinomaResolvedYes
7/52/FHeadache, L hand and facial weakness, speech difficulties.Superior sagittal, R sigmoid, R transverse, R jugular vein.HeparinUnknownResolvedNo
8/49/MHeadache, nausea, disorientation, speech difficulties, urinary incontinence.R transverse, R sigmoid, R straight, R internal cerebral, VOG.HeparinFactor V LeidenSpeech difficulties and disorientation improved, remaining symptoms resolved.No
9/31/MSeizure, headache, L weakness.Superior sagittal, R transverse.Urokinase, HeparinDehydration, TB mastoiditisL weakness improved, headache resolved.Yes
10/17/FHeadache, fatigue, nausea, confusion, L hemiparesis.Inferior sagittal, B straight, B deep.HeparinDehydration, oral contraceptivesL weakness improved, other symptoms resolved.No
11/67/MHeadache, speech and vision difficulties.Superior sagittal, R transverse.Heparin, Lovenox (SC)DehydrationL field cut persisted, other symptoms resolved.No
12/43/FHeadache, visual difficulties, decreased mental acuity, vague paresthesias.Superior sagittal, R straight, R transverse, R jugular vein.HeparinHyperviscosityDiedNo
13/41/ML arm numbness and weakness.R cortical veins.HeparinUnknownWeakness improved.No
  • Note.—B indicates bilateral; L, left; R, right; SC, subcutaneous; TB, tuberculosis; VOG, vein of Galen.