脑静脉窦血栓形成的影像学检查及临床特征  

The Clinical and Radiologic Features of Cerebral Venous Sinus Thrombosis

作　　者：杨美兰[1] 曲辉[2] 李涛[1] 张鋕 黄宗青[1] 

机构地区：[1]深圳福田人民医院神经内科,广东深圳518000 [2]首都医科大学附属天坛医院神经内科,北京100050

出　　处：《神经损伤与功能重建》2008年第4期238-241,共4页Neural Injury and Functional Reconstruction

摘　　要：目的:探讨脑静脉窦血栓形成(CVT)的临床特征及影像学特点,以寻求早期识别的征象及影像策略。方法:对62例经MR或/和DSA确诊为CVT的患者临床资料及影像学特点进行回顾性分析,并予抗凝治疗。结果:62例患者中有60例有非特异性头痛,其中56例行MRI+MRV检查确诊为CVT的有54例,32例经DSA检查均确诊为DVT。结论:CVT的临床表现缺乏特异性,MRI+MRV检查是诊断DVT的首选方法,DSA是诊断CVT的"金标准"。Objective：To study the early clinical manifestations and imaging characteristics of cerebral venous sinus thrombosis（CVT）, in order to make an early diagnosis and form a radiologic intenvention strategy. Methods： Clinical manifestations and imaging features of 62 CVT patients diagnosed by MR and/or DSA were analyzed retrospectively. Results：Sixty out of 62 patients showed non-specific headache. Fifty-four out of 56 patients were definitely diagnosed to have CVT by MRI combined with MRV. In 32 patients, the diagnosis was confirmed by DSA. Conclusions： No specific clinical features was identified for CVT. MRI in combination with MRV was the choice for diagnosing the disorder. DSA was the＂golden standard＂.

关 键 词：脑静脉窦血栓形成 临床特征 影像学特征 

分 类 号：R741[医药卫生—神经病学与精神病学] R743.9[医药卫生—临床医学]