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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Galeano-Valle et al&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> described a cohort of patients with cerebral venous sinus thrombosis &#40;CVST&#41;&#46; They analysed complications via a composite event&#44; observing how cerebral oedema and corticosteroid therapy are associated with more complications while headache and involvement of the superior sagittal sinus are associated with a lower risk of complications&#46; In the literature&#44; these characteristics are not considered to be predictors of a worse prognosis or sequelae&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Early mortality in CVST typically occurs due to transtentorial herniation owing to large intracranial space-occupying lesions or to generalised cerebral oedema&#46; Long-term mortality is mainly due to underlying disease &#40;cancer in particular&#41;&#44; haemorrhagic complications associated with prolonged anticoagulant therapy&#44; or recurrent thrombosis&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">The ISCVT study<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> identified the following factors for poor prognosis among CVST patients&#58; age over 37 years&#44; male sex&#44; coma&#44; presence of intracranial haemorrhage&#44; central nervous system infection&#44; neoplasm&#44; and deep involvement of the cerebral venous system&#46; A systematic review<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> observed an association between persistent venous occlusion and worse functional outcome&#46; Galeano-Valle et al&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> likely did not encounter these findings due to the reduced sample size of their cohort&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Another interesting aspect to bear in mind regarding patients with CVST is that&#44; while approximately 80&#37; of patients recover without any functional disability&#44; many experience in the long-term chronic headaches&#44;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> neuropsychological deficits&#44; or depression&#44; as well as feelings of isolation on account of being a young &#8220;stroke&#8221; survivor&#44; with the resulting negative impact on their day-to-day life&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;5</span></a> Perhaps future studies could develop scales for both physical and psychological symptoms during follow-up to help identify the most significant sequelae that affect quality of life following CVST&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0025" class="elsevierStylePara elsevierViewall">The author states she has no conflicts of interest regarding this article&#46;</p></span></span>"
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Correspondence
DOI: 10.1016/j.rceng.2023.12.001
Commentary on the article: “Cerebral venous thrombosis in adults: a case series of 35 patients from a tertiary hospital”
Comentario al artículo “Trombosis venosa cerebral en adultos: cohorte de 35 casos de un hospital terciario”
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Aída Gil-Díaza,b,
Corresponding author
aida.gil@ulpgc.es

Corresponding author.
a Servicio de Medicina Interna, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Spain
b Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain

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