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)
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.