Ferro et al reported a score for predicting the outcome for a patient with a cerebral vein and dural sinus thrombosis. This can help to identify a patient who may benefit from more aggressive management. The authors are from multiple institutions in Europe, Mexico and Brazil.
Patient selection: derivation set from database for the International Study on Cerebral Vein and Dural Sinus Thrombosis (ISCVT). The validation sets were from the VENO-PORT and additional patients admitted to ISCVT centers.
Outcome: death or modified Rankin scale > 2 (disabled)
Parameters:
(1) gender
(2) mental status disturbance
(3) coma
(4) malignancy
(5) thrombosis of the deep venous system
(6) intracranial hemorrhage
|
Parameter |
Finding |
Points |
|
gender |
male |
1 |
|
|
female |
0 |
|
mental status |
not disturbed |
0 |
|
|
disturbance |
1 |
|
coma |
absent |
0 |
|
|
present |
2 |
|
malignancy |
absent |
0 |
|
|
present |
2 |
|
thrombosis of the deep venous system |
absent |
0 |
|
|
present |
2 |
|
intracranial hemorrhage |
absent |
0 |
|
|
present |
1 |
total score =
= SUM(points for all 6 parameters)
Interpretation:
• minimum score: 0
• maximum score: 9 (To achieve this coma and altered mental status have to be separate).
• The higher the score the greater the risk for a poor outcome.
• A score >= 3 indicated risk for poor outcome.
|
Score |
Poor Outcome |
|
0 |
3% |
|
1 |
8% |
|
2 |
21% |
|
3 |
25% |
|
>= 4 |
45% |
Specialty: Hematology Oncology, Clinical Laboratory, Neurology, Ophthalmology, Otolaryngology
