(2023). Neutrophil to Lymphocyte Ratio, Cardiac Troponin and D-dimer as Predictors of Outcome in Patients with Cerebral Venous Thrombosis. The Egyptian Journal of Hospital Medicine, 93(1), 7248-7252. doi: 10.21608/ejhm.2023.322110
. "Neutrophil to Lymphocyte Ratio, Cardiac Troponin and D-dimer as Predictors of Outcome in Patients with Cerebral Venous Thrombosis". The Egyptian Journal of Hospital Medicine, 93, 1, 2023, 7248-7252. doi: 10.21608/ejhm.2023.322110
(2023). 'Neutrophil to Lymphocyte Ratio, Cardiac Troponin and D-dimer as Predictors of Outcome in Patients with Cerebral Venous Thrombosis', The Egyptian Journal of Hospital Medicine, 93(1), pp. 7248-7252. doi: 10.21608/ejhm.2023.322110
Neutrophil to Lymphocyte Ratio, Cardiac Troponin and D-dimer as Predictors of Outcome in Patients with Cerebral Venous Thrombosis. The Egyptian Journal of Hospital Medicine, 2023; 93(1): 7248-7252. doi: 10.21608/ejhm.2023.322110
Neutrophil to Lymphocyte Ratio, Cardiac Troponin and D-dimer as Predictors of Outcome in Patients with Cerebral Venous Thrombosis
Background: Cerebral venous thrombosis (CVT) is a neurovascular disorder with a highly variable presentation and clinical course. Objective: This study aimed to explore the role of neutrophil to lymphocyte ratio (NLR), cardiac troponin and D-dimer as predictors of short term outcome in patients with cerebral venous sinus thrombosis. Patients and methods: Thirty patients diagnosed with CVT were included. They were classified into favorable and unfavorable outcome groups based on one-month modified Rankin scale scores (mRS) (0-2: good prognosis, 3-6: poor prognosis). Clinical findings and laboratory markers (NLR, cardiac troponin and d dimer) were compared between the two groups. The correlation between each marker and mRS was assessed. Results: This study included 30 patients with diagnosis of CVT, 7 (23.3%) were males and 23 (76.7%) were females with mean age 31.63 (SD 11.29) years. Headache was the most common symptom (93.3%) followed by blurring of vision (86.6 %). Left transverse sinus was the most frequent site of sinus thrombosis in 66.66% of patients. A total of 20 (66.7%) patients had favorable outcome and 10 (33.3%) had unfavorable outcome. NLR and D-dimer values were significant predictors of poor outcome in patients with CVT while cardiac troponin (cTn) was found to be non-significant. Conclusion: On admission, D-dimer and NLR are separate predictors of short-term functional prognosis in CVT patients.
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