摘要
目的 分析颅内静脉窦血栓形成 (CVST)的临床特点 ,磁共振成像 (MRI)、磁共振血管造影 (MRA)及数字减影血管造影 (DSA)对其诊断的价值及早期诊断、早期治疗的意义。方法 总结 2 2例经MRI、MRA、DSA确诊为颅内静脉窦血栓形成的住院病人的临床资料及影像学特点。结果 10例病人无明确病因 ,发病时间 4～ 10年 ,临床表现主要有颅内压增高及皮质受损表现。 2 1例病人经MRI、MRA确诊 ,未确诊 1例经DSA检查确诊。本组 11例发病 <1个月的病人经静脉窦插管溶栓术及抗凝等治疗 ,症状和体征完全恢复或明显好转。本组 9例行静脉窦插管溶栓术 ,5例病人症状和体征完全恢复。结论 CVST临床表现无特异性 ,MRI、MRA及DSA检查可确诊。发病早期 (<1个月 )予静脉窦插管溶栓术 。
Objective To analyze the clinical features of cranial venous sinus thrombosis (CVST) and to evaluate the the value of early use of MRI\,MRA and DSA. Methods Clinical information and neuroimaging results were reviewed in patients ( n =22) with CVST confirmed in this hospital by MRI, MRA or DSA.Results Ten of 22 patients were not found to have definite causes. Common clinical manifestations were those of increased intracranial pressure and cortical dysfunction. Twnty one patients were diagnosed by MRI and MRA, and one by DSA. Eleven patients recovered completely or improved markedly within one month of thrombolysis with venous sinus catheterization and anticoagulation. Five of 9 patients treated with thrombolysis from venous sinus catheterization recovered completely. Conclusions The clinical manifestation of CVST is nonspecific. It may be diagnosised with the examination of MRI, MRA or DSA. Early thrombolysis (<1 month) by venous sinus catheterization may be associated with better recovery.
出处
《中国神经精神疾病杂志》
CAS
CSCD
北大核心
2000年第5期288-290,共3页
Chinese Journal of Nervous and Mental Diseases
关键词
静脉窦血栓形成
磁共振成像
磁共振血管造影
数字减影血管造影术
静脉窦插管溶栓术
Venous sinus thrombosis
Magnetic resonance imaging
Magnetic resonance angiography
Digital subtraction angiography
Venous sinus intubate dissolve technique
