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Acta Phlebologica 2022 August;23(2):76-82

DOI: 10.23736/S1593-232X.22.00526-4

Copyright © 2022 EDIZIONI MINERVA MEDICA

language: English

The influence of risk factors on the development of atherotrombotic stroke and cerebral venous thromboses

Lyudmila A. BELOVA 1, Viktor V. MASHIN 1, Anastasiya I. SITNIKOVA 1, Natalia V. BELOVA 2 , Pier L. ANTIGNANI 3, Angelo SCUDERI 4, Evgeny M. DUDIKOV 1

1 Faculty of Medicine, Institute of Medicine, Ecology and Physical Education, Ulyanovsk State University, Ulyanovsk, Russia; 2 The Research Center of Neurology, Moscow, Russia; 3 Vascular Center, Nuova Villa Claudia Clinic, Rome, Italy; 4 Santa Lucinda University Hospital, Sorocaba, Brazil



BACKGROUND: The aim of this study was to explore the features of clinical manifestations and the influence of risk factors on the development of atherothrombotic stroke and cerebral venous thrombosis.
METHODS: A total number of 100 patients with cerebral infarction (I63) were examined. They were divided into 2 groups: the group of patients with cerebral venous thrombosis (CVT) and the group of patients with atherothrombotic strokes (AT). They underwent a clinical and neurological examination, taking account of complaints, anamnesis of the disease, risk factors, neurological status.
RESULTS: The predominance of meningeal and cerebral symptoms (headache, impaired consciousness, epileptic seizures) over focal neurological symptoms statistically significantly increases the probability of detecting CVT. In the analysis of risk factors, the strongest independent predictors of the development of CVT were constitutional venous insufficiency, female sex, use of combined oral contraceptives, age younger than 54 years.
CONCLUSIONS: AT is characterized by the predominance of focal neurological symptoms in the form of oculomotor disorders, pyramidal syndrome over cerebral syndrome. The most significant risk factors for AT were the presence of arterial hypertension and atherosclerosis.


KEY WORDS: Venous thrombosis; Risk factors; Stroke; Hypertension; Venous insufficiency

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