摘要
Abstract
Objective To explore the clinical and imaging features of cerebral venous sinus thrombosis (CVST).Methods Clinical data of 28 CVST patients were analyzed retrospectively.Results Eight patients (28.6％) were male,and 20 patients (71.4％) were female.Acute onset was in 18 cases (64.3％),subacute onset in 8 cases (28.6％),chronic onset in 2 cases (7.1％).The first symptoms was headache accompanied with nausea and vomited in 22 cases,fever accompanied with blurred vision in 3 cases,fever accompanied with mental anomaly in 2 cases,seizure disorder in 1 case.The main manifestations were consciousness disorders and cognitive dysfunction in 16 cases (57.1％),cerebral cortex stimulation symptom in 5 cases (17.9％),motor dysfunction in 3 cases (10.7％),and eye symptom in 6 cases (21.4％).Leukocyte increased was in 6 cases,lymphocytes increased in 2 cases ; c-reactive protein was increased in 3 cases,erythrocyte sedimentation rate increased in 2 cases ; prothrombin time was decreased in 2 cases,D-dimer increased in 4 cases.Hypertension intracranial was in 11 cases.Abnormal biochemistry and cytological examination of CSF was in 4 cases.Brain CT plain scan showed strap and cord sign in 13 cases.Brain MRI plain scan showed hyperintense triangular sign in 14 cases; and enhanced MRI showed hypointense triangular in 7 cases.Magnetic resonance vengioaphy and digital subtraction angiography showed the disappearance of blood flow in the thromboembolic area.After anticoagulant therapy,recovered was in 23 cases,improved in 4 cases,and 1 case was died.Conclusion CVST is common in women.The main first symptoms are headache accompanied with nausea and vomited; the main manifestations are consciousness disorders and cognitive dysfunction.The imaging features are direct signs and indirect signs.关键词
脑静脉窦血栓形成/临床特点/影像学特点Key words
cerebral venous sinus thrombosis/ clinical features/ imaging features分类
医药卫生
