Association of Anemia with Cerebral Venous Thrombosis in Puerperium and its Pattern of Recovery

  • Narendra K Gupta Assistant Professor, Department of Medicine, Ananta Institute of Medical Sciences and Research Centre, Rajsamand, Rajasthan.
  • J K Chhaparwal Associate Professor, Department of Medicine, Ananta Institute of Medical Sciences and Research Centre, Rajsamand, Rajasthan.
  • D K Kanwaria Department of Medicine, Ananta Institute of Medical Sciences and Research Center, Rajsamand.
  • Rishi Ram Meena Department of Medicine, Ananta Institute of Medical Sciences and Research Center, Rajsamand.
  • K C Nayak Department of Medicine, Ananta Institute of Medical Sciences and Research Center, Rajsamand.
Keywords: cerebral venous thrombosis (CVT), anemia, IDA, neurological deficit

Abstract

Background: Anemia is often considered to be a risk factor for cerebral venous thrombosis (CVT). We investigated the association between anemia and CVT. Methods42 postpartum /puerperal females were studied retrospectively for various factors like anemia, conscious level at admission, place of delivery (home or hospital) and their neurological sequel was measured at the time of discharge. Platelets counts were also noted (to rule out thrombocytosis). Anemia was defined according to World Health Organization criteria: non- pregnant women hemoglobin < 7.5 gm/dl, pregnant women < 6.9gm/dl. Modified Rankin Score (mRS) was taken as a scale for recovery. Results: Patients with CVT were younger (mean age 28). Anemia was more frequent in 32.7%. Hemoglobin as a continuous variable was inversely associated with CVT. Platelets counts, BT CT were normal hence no thrombocytosis was seen. No gross increase in WBC count was noted indicating absence of sepsis (puerperal). Outcome was favorable in 83% patients. N=4 (7%) patients died. Conclusions: We concluded that there is a positive correlation with increased levels of HbA1c and FBS (p˂0.001) in diabetic postmenopausal women and knee osteoarthritis. we found a significant association of severe anemia and CVT in patients of CVT of non-infectious origin, although the exact mechanism leading to hypercoagulability remains unclear and had poor prognosis.

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Published
2017-09-23
How to Cite
1.
Gupta NK, Chhaparwal JK, Kanwaria DK, Meena RR, Nayak KC. Association of Anemia with Cerebral Venous Thrombosis in Puerperium and its Pattern of Recovery. Int Arch BioMed Clin Res [Internet]. 2017Sep.23 [cited 2019Dec.5];3(3):60-3. Available from: https://iabcr.org/index.php/iabcr/article/view/56
Section
ORIGINAL ARTICLES ~ General Surgery