Christian Medical college
Neurology
Sanjith Aaron Christian Medical College Hospital Vellore, India Dr Sanjith Aaron is a Professor of Neurology at the Christian Medical College Hospital Vellore (CMC Vellore), India which is one of the largest quaternary care hospital teaching hospitals in South Asia . He did his stroke and cerebrovascular fellowship at the University of Calgary; Canada and currently spearheads a very active and busy stroke program and stroke research at CMC Vellore. He has more than 90 publications and book chapters on stroke and cerebral venous thrombosis. He is the PI of a number of international clinical trials in stroke, cerebral venous thrombosis and stroke rehabilitation and is also a steering committee member of the International Cerebral Venous Thrombosis Consortium. His research interests include hyper acute stroke therapies, stroke in young, cerebral, venous thrombosis, Headache disorders, stroke rehabilitation and Neurosonology .

Presenter of 2 Presentations

Current Updates in the Management of Cerebral Venous Thrombosis

TRENDS IN INCIDENCE GENDER AND AGE OF CEREBRAL VENOUS SINUS THROMBOSIS OVER THE LAST QUARTER CENTUARY (FINDINGS FROM THE CMC VELLORE CVT REGISTRY)

Session Type
Clinical Manifestations
Date
Thu, 27.10.2022
Session Time
08:00 - 09:30
Room
Room 331
Lecture Time
08:20 - 08:30

Abstract

Background and Aims

Cerebral Venous Sinus thrombosis (CVST) predominantly affects young females. This study looked at any changes in gender, age distribution and incidence of CVST over the last 28 years.

Methods

All Imaging proven adult CVST cases (above 18 Years) from the same geographical area treated at a tertiary referral hospital from 1995 -2021 formed this retrospective study cohort.

Results

A total of 1701 cases of CVST fulfilling the criteria were treated during these 28 years. 908 females and 793 males. Post-partum CVST constituted 293 / 908 (32%) of the females.

The incidence of CVT which was less than 0.05% of all hospital admission in the initial years steadily increased to around 0.1%.

The mean age increased from 24.5 to 33.2 years. This trend was equally seen in males and females.

There was a definite change in female preponderance with male patients equaling and overtaking the females in the last decade. 75% of the total male cases in the cohort occurring in the last decade was a reflection of this trend.

The post-partum CVT Cases has which was constituting the majority of female CVTs was showing a declining trend since the last 2 decades.

Conclusions

The incidence and the age of CVST patients were showing an upward trend. There was a very clear change in the female preponderance with equal or more males were being affected in the last decade. This difference seems to be mainly driven by a drop in the incidence of post- partum CVST cases.

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