静脉窦非病理性狭窄与偏头痛关系探讨  

Relationship between Non-pathological Stenos of Venous Sinus and Migraine

作　　者：江功远 孙道东[1] 周戴磐 戴维龙 JIANG Gong-yuan;SUN Dao-dong;ZHOU Dai-pan;DAI Wei-long(Department of Radiology,the Second Affiliated Hospital of the Anhui University of Chinese Medicine,Hefei 230061,Anhui Province,China)

机构地区：[1]安徽中医药大学第二附属医院放射科,安徽合肥230061

出　　处：《中国CT和MRI杂志》2021年第6期31-33,39,共4页Chinese Journal of CT and MRI

摘　　要：目的通过非静脉注射对比剂磁共振静脉血管成像(MRV)对颅内静脉窦形态的显示,探讨横窦、上矢状窦、乙状窦及窦汇非病理性狭窄与偏头痛的关系。方法回顾性分析2015年5月至2019年10月行2D-TOF MRV检查患者46例,临床诊断偏头痛患者26例,对照组20例的MRV影像表现。结果 2D-TOF MRV示:橫窦、乙状窦狭窄25例;上矢状窦狭窄16例。病例组和对照组的横窦、乙状窦、上矢状窦狭窄情况的差异有统计学意义(P<0.05)。结论偏头痛患者多存在脑静脉窦非病理性狭窄。静脉窦非病理性狭窄是其重要其原因之一,特别是横窦、乙状窦及上矢状窦狭窄。建议:MRV作为临床似诊断偏头痛常规检查。Objective To explore the relationship between migraine and non-pathological stenosis of transverse sinus,superior sagittal sinus,sigmoid sinus,and the confluence of sinus by MRV to show the shape of the intracranial venous sinus.Methods From May 2015 to October 2019,46 patients with 2 D-TOF MRV,26 patients with migraine,and 20 cases without headache in the control group were analyzed retrospectively.Results 2 D-TOF MRV showed transverse and sigmoid sinus stenosis in 25 cases and superior sagittal sinus stenosis in 16 cases.The re was a significa nt difference between the two groups(P<0.05).Conclusion Most of the patients with migraines have the non-pathological stenosis of the venous sinus.The non-pathological stenosis of the venous sinus is an important reason,especially tra nsverse sinus,sigmoid sinus stenosis,and superior sagittal sinus.Advice:MRV was used as a routine exa mination for clinical diagnosis of migraine.

关 键 词：静脉窦 偏头疼 磁共振静脉血管成像 

分 类 号：R747.2[医药卫生—神经病学与精神病学]