Dural Sinus Thrombosis in Rwanda: An Observational Descriptive Study
BACKGROUND: Dural sinus thrombotic (DST) events are common emergencies globally, yet awareness, even among health professionals, is limited. DST is devastating when the diagnosis is missed and/or the patients are inadequately treated. If the diagnosis is made and the patient is correctly treated, th...
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| Format: | Article |
| Language: | English |
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Rwanda Biomedical Centre (RBC)/Rwanda Health Communication Center
2020-09-01
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| Series: | Rwanda Medical Journal |
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| Online Access: | https://www.rwandamedicaljournal.org/uploads/1/2/2/1/122149944/op.19.13.pdf |
| _version_ | 1831739694447067136 |
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| author | E. A. Nkusi S. Muneza L. Mutesa S. Nshuti D. Hakizimana P. Munyemana E. Shingiro S. Inyange |
| author_facet | E. A. Nkusi S. Muneza L. Mutesa S. Nshuti D. Hakizimana P. Munyemana E. Shingiro S. Inyange |
| author_sort | E. A. Nkusi |
| collection | DOAJ |
| description | BACKGROUND: Dural sinus thrombotic (DST) events are common emergencies globally, yet awareness, even among health professionals, is limited. DST is devastating when the diagnosis is missed and/or the patients are inadequately treated. If the diagnosis is made and the patient is correctly treated, the results are generally good.
METHODS: We performed a retrospective descriptive study of a prospectively compiled database documenting management and outcome of 20 adult patients treated with DST at King Faisal Hospital (KFH) and Centre Hospitalier Universitaire de Kigali (CHUK) from March 2012 to March 2017.
RESULTS: Headache was the most common presenting symptom occurring in 14 patients (70%). The mean duration from pre- sentation to diagnosis was 6 days (range: 2 to 21 days). There was one death with the 13 remaining patients (95%) responding well to treatment.
CONCLUSION: The delay in diagnosis of five days suggests that awareness of this condition is still low in Rwanda and that the diagnostic tools necessary to confirm this diagnosis continue to not be available in most medical facilities in the country. In order to achieve optimal results referral of patients suspected of having DST to a hospital with the imaging modalities is need- ed to confirm the diagnosis along with specialists who can treat this condition. |
| first_indexed | 2024-12-21T13:44:09Z |
| format | Article |
| id | doaj.art-3743cb8f6f3b49e1b6263ac930ae44dd |
| institution | Directory Open Access Journal |
| issn | 2410-8626 |
| language | English |
| last_indexed | 2024-12-21T13:44:09Z |
| publishDate | 2020-09-01 |
| publisher | Rwanda Biomedical Centre (RBC)/Rwanda Health Communication Center |
| record_format | Article |
| series | Rwanda Medical Journal |
| spelling | doaj.art-3743cb8f6f3b49e1b6263ac930ae44dd2022-12-21T19:01:56ZengRwanda Biomedical Centre (RBC)/Rwanda Health Communication CenterRwanda Medical Journal2410-86262020-09-017731619Dural Sinus Thrombosis in Rwanda: An Observational Descriptive StudyE. A. Nkusi0 S. Muneza1 L. Mutesa2S. Nshuti3D. Hakizimana4P. Munyemana5E. Shingiro6S. Inyange7College of Medicine and health sciences, Department of Surgery, Neurosurgery Training Program, University of Rwanda, Rwanda Neurosurgical Center, King Faisal Hospital, RwandaCollege of Medicine and health sciences, Department of Surgery, Neurosurgery Training Program, University of Rwanda, Rwanda Neurosurgical Center, Centre Hospitalier Universitaire de KigaliCollege of Medicine and Health sciences, center of medical genetics, University of RwandaCollege of Medicine and health sciences, Department of Surgery, Neurosurgery Training Program, University of Rwanda, Rwanda Neurosurgical Center, Centre Hospitalier Universitaire de KigaliCollege of Medicine and health sciences, Department of Surgery, Neurosurgery Training Program, University of Rwanda, Rwanda Neurosurgical Center, King Faisal Hospital, RwandaCollege of Medicine and health sciences, Department of Surgery, Neurosurgery Training Program, University of RwandaCollege of Medicine and health sciences, Department of Surgery, Neurosurgery Training Program, University of RwandaCollege of Medicine and health sciences, Department of Surgery, Neurosurgery Training Program, University of RwandaBACKGROUND: Dural sinus thrombotic (DST) events are common emergencies globally, yet awareness, even among health professionals, is limited. DST is devastating when the diagnosis is missed and/or the patients are inadequately treated. If the diagnosis is made and the patient is correctly treated, the results are generally good. METHODS: We performed a retrospective descriptive study of a prospectively compiled database documenting management and outcome of 20 adult patients treated with DST at King Faisal Hospital (KFH) and Centre Hospitalier Universitaire de Kigali (CHUK) from March 2012 to March 2017. RESULTS: Headache was the most common presenting symptom occurring in 14 patients (70%). The mean duration from pre- sentation to diagnosis was 6 days (range: 2 to 21 days). There was one death with the 13 remaining patients (95%) responding well to treatment. CONCLUSION: The delay in diagnosis of five days suggests that awareness of this condition is still low in Rwanda and that the diagnostic tools necessary to confirm this diagnosis continue to not be available in most medical facilities in the country. In order to achieve optimal results referral of patients suspected of having DST to a hospital with the imaging modalities is need- ed to confirm the diagnosis along with specialists who can treat this condition.https://www.rwandamedicaljournal.org/uploads/1/2/2/1/122149944/op.19.13.pdfdural sinus thrombosisanticoagulationstrokevenous infarctionafricarwanda |
| spellingShingle | E. A. Nkusi S. Muneza L. Mutesa S. Nshuti D. Hakizimana P. Munyemana E. Shingiro S. Inyange Dural Sinus Thrombosis in Rwanda: An Observational Descriptive Study Rwanda Medical Journal dural sinus thrombosis anticoagulation stroke venous infarction africa rwanda |
| title | Dural Sinus Thrombosis in Rwanda: An Observational Descriptive Study |
| title_full | Dural Sinus Thrombosis in Rwanda: An Observational Descriptive Study |
| title_fullStr | Dural Sinus Thrombosis in Rwanda: An Observational Descriptive Study |
| title_full_unstemmed | Dural Sinus Thrombosis in Rwanda: An Observational Descriptive Study |
| title_short | Dural Sinus Thrombosis in Rwanda: An Observational Descriptive Study |
| title_sort | dural sinus thrombosis in rwanda an observational descriptive study |
| topic | dural sinus thrombosis anticoagulation stroke venous infarction africa rwanda |
| url | https://www.rwandamedicaljournal.org/uploads/1/2/2/1/122149944/op.19.13.pdf |
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