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Study of clinical spectrum, laboratory parameters, and radiological patterns in cerebral venous thrombosis cases occurring at high altitude

1 Department of Hosp Adm, Prof and HOD, AFMC and Ex Brig Med,14 Corps, Udampur, India
2 Department of Hosp Adm, Brig AFMS(HR), O/o-DGAFMS, New Delhi, India
3 Ex SR, Department of Radiation Oncology, RIMS Ranchi & Medical Officer in charge, ECHS Polyclinic, New Delhi, India
4 Department of Medicine, Classified SPL (Med), CH (NC), India
5 Department of Pathology, Classified SPL (Path), 151 Base Hospital, Guwahati, Assam, India
6 Department of Medicine and Neurology, Classified SPL (Medicine and Neurology), CH (NC), Udampur, India
7 Department of Medicine, CH (NC), Udampur, Jammu and Kashmir, India
8 Department of Radiology, Senior ADV (Radiology), MH namkum, Ranchi, Jharkhand, India
9 Department of Medicine, GD SPL (Med), 153 GH, Leh, India

Correspondence Address:
SK Singh,
Department of Medicine, Classified SPL (Med), Command Hospital (NC), Udampur, Jammu and Kashmir
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmms.jmms_68_20

Context: The risk of cerebral venous thrombosis at particular locations and its association with high altitude is yet to be established completely. The relation between high altitude and venous thromboembolic events has been debated for many years. Cerebral venous thrombosis presenting with nonspecific symptoms like headache can be a tough challenge for primary care physicians deployed at high altitudes. Materials and Methods: Combatants going to wide areas of mountainous territories at varying altitudes presenting with persistent severe headache associated with nausea and vomiting were subjected into the study after evaluation at zonal and tertiary care hospital. Results: Over a period of 18 months from October 2018 to March 2020, 75 cases of headache were screened and evaluated. Eighteen of these patients were diagnosed to have cerebral venous thrombosis. Conclusion: The occurrence of chronic venous thrombosis in combatants who enter and remain at high altitude for the prolonged duration is very common and the gold standard for diagnosis is a clinical evaluation with radio imaging.

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