40例颅内静脉窦血栓形成的临床及影像学分析  

The Clinical and Image Research in 40 Patients with Cerebral Venous Sinus Thrombosis

作　　者：李小磊[1] 杜彦辉[1] 

机构地区：[1]宁夏医学院附属医院神经内科,银川750004

出　　处：《宁夏医学院学报》2008年第3期316-318,共3页Journal of Ningxia Medical College

摘　　要：目的探讨颅内静脉窦血栓形成(CYST)的临床及影像学表现。方法回顾性分析加例CVST患者的发病年龄、发病形式、临床表现及影像学特征等。结果CVST发病年龄多为20～40岁,发生于分娩或流产后女性占37.5%,多数为急性或亚急性起病,头痛为主可伴呕吐、痫性发作及肢体瘫痪;影像学表现多有脑实质损伤,大多累及上矢状窦;脑脊液压力增高者较多;病死率低,预后较好。结论对于急性或亚急性发生的头痛、呕吐且进行性加重伴或不伴痫性发作或局灶性神经功能缺损的中、青年患者,应考虑CVST的可能(特别是分娩或流产后女性),应及时行颅脑CT、MRI及磁共振静脉成像检查,必要时行数字减影血管成像检查。Objective To investigate the clinical and image manifestation in patients with cerebral venous sinus thrombosis （CVST）. Methods The illness age, illness shape, clinical manifestation and image feature of 40 patients were reviewed. Results The CVST happened mostly at 20-40 years old,37.5% of which were mused by abortion or childbirth; Most got the illness acutely or subacutely. Headache was the main manifestation compartied with vomit, seizure and paralysis. The image showed injure mostly in brain essence; much of the cerebmspinal fluid pressure got higher. The mortality was low and the prognosis was better. Conclusion Young patients who suffered from headache, vomit and seizure is probably considered as CVST. The brain CT, MRI, MRV and DSA check should be suggested.

关 键 词：颅内静脉窦血栓形成 影像学表现 脑脊液检查 

分 类 号：R743.3[医药卫生—神经病学与精神病学]