FREQUENCY OF CEREBRAL VENOUS SINUS THROMBOSIS IN PATIENTS PRESENTED WITH HEADACHE AT HIGH ALTITUDE

Objective: To determine the frequency of cerebral venous sinus thrombosis (CVST) among the patient with headache presenting from high altitude (HA). Study Design: Cross-sectional study. Place and Duration of Study: Pak Emirates Military Hospital, Rawalpindi, from 24th Apr 2018 to 24th Jan 2019....

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Autores principales:	Andaleeb Khan, Khurram Haq Nawaz, Wasim Alamgir, Saeed Arif, Muhammad Hammad Athar, Amer Fakhr, Kamil Rehman Butt
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	cerebral venous sinus thrombosis high altitude headache Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/7cdafadee45b4910bbcca8c9f3f2adf2
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spelling	oai:doaj.org-article:7cdafadee45b4910bbcca8c9f3f2adf22021-11-10T03:31:00ZFREQUENCY OF CEREBRAL VENOUS SINUS THROMBOSIS IN PATIENTS PRESENTED WITH HEADACHE AT HIGH ALTITUDE0030-96482411-8842https://doaj.org/article/7cdafadee45b4910bbcca8c9f3f2adf22019-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3423/2398https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine the frequency of cerebral venous sinus thrombosis (CVST) among the patient with headache presenting from high altitude (HA). Study Design: Cross-sectional study. Place and Duration of Study: Pak Emirates Military Hospital, Rawalpindi, from 24th Apr 2018 to 24th Jan 2019. Methodology: The sample population comprised of patients presenting with the headache, living at a height of 3000-8200 meter above sea level. CT-scan brain, MRI brain and MRV brain was performed on all the cases. Carotid Doppler, d-dimers, thrombophillic screen, autoimmune profile, EEG and other relevant investigations were performed of all the cases diagnosed with CVST. Age, altitude, total time spent at HA and acclimatization were correlated with the presence of CVST among the patients of headache at HA. Results: Out of 60 patients reporting with headache from HA, 9 had presence of CVST on the relevant neuroimaging. Among these cases of CVST 2 had secondary polycythemia, 1 had protein C deficiency and 1 had protein S deficiency. Poor acclimatization had a significant relationship with the presence of CVST when logistic regression was applied. Conclusion: Cerebral venous sinus thrombosis should be considered a possibility while evaluating the causes of headache among the patients reporting from high altitude. Special attention should be given on acclimatization process for the people who are ascending to high altitude.Andaleeb KhanKhurram Haq NawazWasim AlamgirSaeed ArifMuhammad Hammad AtharAmer FakhrKamil Rehman ButtArmy Medical College Rawalpindiarticlecerebral venous sinus thrombosishigh altitudeheadacheMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 5, Pp 1111-1114 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	cerebral venous sinus thrombosis high altitude headache Medicine R Medicine (General) R5-920
spellingShingle	cerebral venous sinus thrombosis high altitude headache Medicine R Medicine (General) R5-920 Andaleeb Khan Khurram Haq Nawaz Wasim Alamgir Saeed Arif Muhammad Hammad Athar Amer Fakhr Kamil Rehman Butt FREQUENCY OF CEREBRAL VENOUS SINUS THROMBOSIS IN PATIENTS PRESENTED WITH HEADACHE AT HIGH ALTITUDE
description	Objective: To determine the frequency of cerebral venous sinus thrombosis (CVST) among the patient with headache presenting from high altitude (HA). Study Design: Cross-sectional study. Place and Duration of Study: Pak Emirates Military Hospital, Rawalpindi, from 24th Apr 2018 to 24th Jan 2019. Methodology: The sample population comprised of patients presenting with the headache, living at a height of 3000-8200 meter above sea level. CT-scan brain, MRI brain and MRV brain was performed on all the cases. Carotid Doppler, d-dimers, thrombophillic screen, autoimmune profile, EEG and other relevant investigations were performed of all the cases diagnosed with CVST. Age, altitude, total time spent at HA and acclimatization were correlated with the presence of CVST among the patients of headache at HA. Results: Out of 60 patients reporting with headache from HA, 9 had presence of CVST on the relevant neuroimaging. Among these cases of CVST 2 had secondary polycythemia, 1 had protein C deficiency and 1 had protein S deficiency. Poor acclimatization had a significant relationship with the presence of CVST when logistic regression was applied. Conclusion: Cerebral venous sinus thrombosis should be considered a possibility while evaluating the causes of headache among the patients reporting from high altitude. Special attention should be given on acclimatization process for the people who are ascending to high altitude.
format	article
author	Andaleeb Khan Khurram Haq Nawaz Wasim Alamgir Saeed Arif Muhammad Hammad Athar Amer Fakhr Kamil Rehman Butt
author_facet	Andaleeb Khan Khurram Haq Nawaz Wasim Alamgir Saeed Arif Muhammad Hammad Athar Amer Fakhr Kamil Rehman Butt
author_sort	Andaleeb Khan
title	FREQUENCY OF CEREBRAL VENOUS SINUS THROMBOSIS IN PATIENTS PRESENTED WITH HEADACHE AT HIGH ALTITUDE
title_short	FREQUENCY OF CEREBRAL VENOUS SINUS THROMBOSIS IN PATIENTS PRESENTED WITH HEADACHE AT HIGH ALTITUDE
title_full	FREQUENCY OF CEREBRAL VENOUS SINUS THROMBOSIS IN PATIENTS PRESENTED WITH HEADACHE AT HIGH ALTITUDE
title_fullStr	FREQUENCY OF CEREBRAL VENOUS SINUS THROMBOSIS IN PATIENTS PRESENTED WITH HEADACHE AT HIGH ALTITUDE
title_full_unstemmed	FREQUENCY OF CEREBRAL VENOUS SINUS THROMBOSIS IN PATIENTS PRESENTED WITH HEADACHE AT HIGH ALTITUDE
title_sort	frequency of cerebral venous sinus thrombosis in patients presented with headache at high altitude
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/7cdafadee45b4910bbcca8c9f3f2adf2
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FREQUENCY OF CEREBRAL VENOUS SINUS THROMBOSIS IN PATIENTS PRESENTED WITH HEADACHE AT HIGH ALTITUDE

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