According to our results, the levels of abovementioned six inflammatory factors were higher in patients with CVT compared with those in the controls. Results The following results were obtained: (1) Inflammatory factor levels in patients with CVT were higher than those in the controls. (2) TNFRSF8 Inflammatory factor levels in the acute and subacute stages were significantly higher than those in the chronic stage (all test or MannCWhitney test was used for continuous data, while value 0.05 were tested in a multivariable logistic regression analysis. The correlation between baseline NIHSS and inflammatory factors were assessed by Spearmans correlation coefficients. The receiver operating characteristic (ROC) curve was used to demonstrate the sensitivity and specificity of significant variables and the optimal cutoff values for predicting the outcome. A difference between the groups was considered significant if valuecerebral venous thrombosis, hypersensitive C-reactive protein, interleukin-6, the neutrophil to lymphocyte ratio, immunoglobulin A, immunoglobulin M, immunoglobulin G, cerebrospinal fluid Inflammation and stages of CVT The levels of most inflammatory factors between acute and subacute stages have no difference (1.036C1.896, 1.001C1.080, 1.016C1.092, 1.049C1.809, 1.071C1.556, valuecerebral venous thrombosis, hypersensitive C-reactive protein, interleukin-6, the neutrophil to lymphocyte ratio, immunoglobulin A, immunoglobulin M, immunoglobulin G, cerebrospinal fluid Logistic regression was used to study the value of inflammatory factors in predicting the outcomes at discharge. The independent variables were the baseline levels of six inflammatory factors, age, sex, and NIHSS score. The multivariate logistics analysis found that the baseline NLR was significantly associated with high risk of disability at discharge (adjusted OR, 1.339; 95% 1.097C1.784, 0.620C0.928) (Fig.?3). The optimal cutoff is usually 4.205 (positive predictive value 61.5%, negative predictive value 86.6%, +?likelihood ratio [LR] 1.60, ??LR 0.15). To further estimate the significance of baseline NLR on predicting the outcome of CVT, patients were divided into two groups according to the cutoff value of NLR (NLR?4.205 and ?4.025), and the details are shown in Table?3. The results revealed that the group with NLR??4.205 had higher NIHSS scores (median 2.00 [0.00, 7.00] vs 0.00 [0.00, 1.00], valuethe National Institutes of Health Stroke Score, interquartile range During the follow-up, 69.47% (66/95) of patients completed the telephone follow-up, and 53.68% (51/95) underwent lumbar puncture and fundus examination. The IL-6 level (OR, 1.063; 95% 1.008C1.122, 1.001C1.596, P?=?0.049) were associated with high risk of poor outcome in the univariable model. However, the multivariate logistics analysis found no significant relationship (all P?>?0.05). Moreover, the levels of these inflammatory factors were not correlated with the prognosis of non-inflammatory CVT including the development of IH and papilledema (all P?>?0.05). Discussion It is well known that inflammation plays vital functions in artery stroke, which not only participates in the development of stroke but also plays a continuing role during the various stages of stroke and influences the outcome [26C29]. Similarly, inflammation could act as the cause of CVT, which has been exhibited by numerous previous studies [8]. However, whether the inflammation develops after CVT and is associated with its severity and outcome is not yet presently defined. As clinically easily available inflammatory biomarkers, Hs-CRP, IL-6, and NLR in the peripheral blood and Ig (A, M, G), Engeletin in the CSF were used in our study to represent the inflammatory response. According to our results, the levels of abovementioned six inflammatory factors were higher in patients with CVT compared with those in the controls. Furthermore, these inflammatory factors including Hs-CRP, IL-6, and NLR in the peripheral blood and IgA, IgM, and IgG in the CSF increased significantly during Engeletin the acute and subacute stages and decreased during the chronic stage. It indicated that inflammation may develop soon after CVT and gradually decrease Engeletin during the course. In other words, the degree of inflammation may change with the course of the disease. As in DVT, the IL-6 and CRP levels were higher on admission and then gradually declined during the subsequent days [30]. Moreover, the serum NLR and CSF IgM level were positively correlated with baseline degree of disability on admission. The Hs-CRP level was positively correlated with the development of seizure at baseline. The baseline serum NLR and CSF IgA, CSF IgM, and CSF IgG levels were positively associated with NIHSS. Although the multivariate logistics analysis found no relationship between inflammatory factors and cerebral venous infarction at baseline, the univariate logistics analysis revealed the correlation between cerebral venous infarction at baseline and serum Hs-CRP, CSF IgM, and CSF IgG levels. Hence, it is suggested that a significant correlation between inflammation and severity of CVT may exist. Previous studies have also found the correlation between Hs-CRP level and disability and.