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颅内静脉窦血栓形成9例临床与影像学分析

李志方 孙彬彬 薛伟宁 张乐石 刘力学 周幼萍 樊双义

疑难病杂志Issue(2):121-124,4.
疑难病杂志Issue(2):121-124,4.DOI:10.3969/j.issn.1671-6450.2015.02.004

颅内静脉窦血栓形成9例临床与影像学分析

Clinical and imaging analysis of cerebral venous sinus thrombosis in 9 cases

李志方 1孙彬彬 1薛伟宁 1张乐石 1刘力学 1周幼萍 1樊双义1

作者信息

  • 1. 100071 北京,军事医学科学院附属医院神经内科
  • 折叠

摘要

Abstract

Objective To investigate the clinical and imaging characteristics of cerebral venous sinus thrombosis ( CVST) . Methods Retrospectively analyzed 9 cases of CVST patients’ clinical and imaging data. Results 9 patients’ male to female ratio was 1∶1. 25, the average age was (46. 7 ± 14. 9) years; the main causes was malignant tumors; the clinical manifestations were headache, dizziness, blurred vision, aphasia, limb weakness, seizures and other symptoms, which can be isolated or the combination of all symptoms. Only 2 cases of patients’ cranial CT scan showed the lesions of sinus high density and strip signs. 7 cases’ MR showed venous sinus’ flow void signal disappeared, different signal intensity revealed along with the different phase, enhanced scan showed “delta" sign. MRV of these 8 patients had different degree of venous sinus le-sions, showing venous sinus stenosis or occlusion. The low molecular heparin anticoagulation and lowering the intracranial pressure after treatment, all the patients’ clinical symptoms disappeared. Conclusion The clinical manifestation of CVST is complicated and lack of specificity. The head MR+MRV examination is a major diagnostic method. Anticoagulation and low-ering the intracranial pressure has good curative effect.

关键词

颅内静脉窦血栓形成/诊断/影像学特点

Key words

Cerebral venous sinus thrombosis/Diagnosis/Imaging characteristics

引用本文复制引用

李志方,孙彬彬,薛伟宁,张乐石,刘力学,周幼萍,樊双义..颅内静脉窦血栓形成9例临床与影像学分析[J].疑难病杂志,2015,(2):121-124,4.

基金项目

国家自然科学基金资助项目(No.81100897) (No.81100897)

疑难病杂志

OACSTPCD

1671-6450

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