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Rehabilitation After Decompressive Craniectomy In Cerebral Venous Thrombosis

Gurumayum Sonachand Sharma, Navin Bp.


Abstract

Objective: To analyze the functional outcome after inpatient rehabilitation in survivors of cerebral venous thrombosis (CVT) treated with decompressive craniectomy
Method: Design: A retrospective study, Setting: Neurological Rehabilitation unit of a tertiary care university research centre.
Participants and Study Period: The diagnosed case of CVT being treated with decompressive craniectomy and admitted for inpatient rehabilitation during the period from January 2012 to May 2020.
Assessment and outcomes: All participants underwent inpatient rehabilitation in the same setting. The functional outcomes were assessed at admission and discharge by using Barthel Index (BI), Scandinavian Stroke Scale (SSS) and modified Rankin Scale (mRS).
Results: Out of all participants, the male: female ratio was 1:1 with a mean age of 34.2±12 years. The mean (±SD) of the duration of illness at admission and mean (± SD) duration of hospital stay for inpatient rehabilitation were 42 ± 30.7 days and 22.5 ±10.4 days respectively. The most common risk factor was haematological abnormality (83.2%) with superior sagittal sinus (66%) being the common site of venous thrombosis. All participants showed better functional outcomes at the time of discharge as compared to admission; BI improved by three times (from the mean of 20.8±14.2 to 60±27.5) while SSS improved by nearly two times (from mean of 20±10 to 38±12) on average. Half of the participants had improvement in functional outcomes with mRS score < 3 at discharge.
Conclusion: After inpatient rehabilitation, survivors of CVT following decompressive craniectomy showed improvement in the functional outcomes measures.

Key words: Cerebral venous thrombosis, decompressive craniectomy, inpatient rehabilitation






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