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Seventy-eight patients with aseptic cerebral venous thrombosis between 1966 and 1990
were reviewed in order to determine prognostic factors for this condition. Sixty-eight
patients were women. The average age of the patients was 30.5 years. Fifty-two percent
of patients developed the thrombosis during the postpartum or puerperal stage. The
clinical manifestations that were associated with a poor prognosis were: stupor or
coma, bilateral pyramidal tract signs, generalized seizures, meningeal signs, bilateral
lesions on computed tomography, and hemorrhagic cerebrospinal fluid. Using these clinical
features, a prognostic scale is proposed with a positive predictive value of 0.98
for a good prognosis and 0.96 for a poor prognosis.
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© 1992 National Stroke Association. Published by Elsevier Inc. All rights reserved.
