Cerebral Venous Sinus Thrombosis as a Rare Complication of Systemic Lupus Erythematosus: Subgroup Analysis of the VENOST Study.
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Duman Taskın, Demirci Seden, Uluduz Derya, Kozak Hasan Hüseyin, Demir Serkan, Mısırlı Cemile Handan, Küçükoğlu Hayriye, Çınar Nilgün, Domaç Füsun Mayda, Öztürk Şerefnur, VENOST Study Group, Sungur Mehmet Ali, Yayla Vildan, Karahan Ali Yavuz, Afşar Nazire, Göksu Eylem Özaydın, Aytaç Emrah, Yeşilot Nilüfer, İnce Birsen, Yalın Osman Özgür, Oruç Serdar, Senol Mehmet Guney, Yılmaz Arda, Gökçe Mustafa, Küsbeci Özge Yılmaz, Uzuner Gulnur, Batur Çağlayan Hale Zeynep, Açıkgöz Mustafa, Kurucu Hatice, Ozdag Fatih, Ekmekci Hakan, Çabalar Murat, Yurekli Vedat Ali, Güneş Taşkın, Genç Hamit, Utku Uygar, Şahin Şevki, Tokuc Firdevs Ezgi Ucan, Uzuner Nevzat, Bektaş Hesna, Kablan Yüksel, Göksel Başak Karakurum, Milanlıoğlu Aysel, Örken Dilek Necioğlu, Aluclu Ufuk, Midi İpek, Çolakoğlu Sena, Tüfekçi Ahmet, Bakar Mustafa, Nazlıel Bijen, Taşçılar Nida, Göksan Baki
Аннотация
MATERIAL AND METHOD: Among the 1144 CVST patients in the VENOST cohort, patients diagnosed with SLE were studied. Their demographic and clinical characteristics, etiological risk factors, venous involvement status, and outcomes were recorded.
RESULTS: In total, 15 (1.31%) of 1144 CVST patients had SLE. The mean age of these patients was 39.9 ± 12.1 years and 13 (86.7%) were female. Presenting symptoms included headache (73.3%), visual field defects (40.0%), and altered consciousness (26.7%). The main sinuses involved were the transverse (60.0%), sagittal (40.0%), and sigmoid (20.0%) sinuses. Parenchymal involvement was not seen in 73.3% of the patients. On the modified Rankin scale, 92.9% of the patients scored 0-1 at the 1-month follow-up and 90.9% scored 0-1 at the 1-year follow-up.
CONCLUSIONS: SLE was found in 1.31% of the CVST patients, most frequently in young women. Headache was the most common symptom and the CVST onset was chronic in the majority of cases. The patient outcomes were favorable. CVST should be suspected in SLE patients, even in those with isolated chronic headache symptoms with or without other neurological findings.