论文部分内容阅读
目的探讨脑静脉窦血栓形成(cerebral venous sinus thrombosis,CVST)的临床、影像学特点及发病原因。方法对22例CVST患者的临床及头颅影像学资料进行回顾性分析。结果 22例CVST患者中男5例,女17例,发病年龄21～71岁,急性起病13例,亚急性起病9例,首发症状以头痛多见,其次为发热、意识障碍、肢体无力、抽搐及视力障碍,其中2例并发下肢静脉血栓形成。22例中DSA检查1例、头颅MRV检查21例,累及2个以上静脉窦者12例,以上失状窦受累最常见,发病原因以分娩最常见,其他因有口服避孕药、炎症、外伤、贫血等,22例中基本痊愈21例。结论 CVST以女性多见,首发症状以头痛多见,发病原因以分娩常见,可伴发躯体静脉血栓形成,多累及2个以上静脉窦,MRV有助于早期诊断,早期治疗预后较好。
Objective To investigate the clinical features, imaging features and causes of cerebral venous sinus thrombosis (CVST). Methods The clinical and cranial imaging data of 22 patients with CVST were retrospectively analyzed. Results There were 5 males and 17 females in 22 CVST patients. The age of onset was 21-71 years. There were 13 cases of acute onset and 9 cases of subacute onset. The first symptom was headache, followed by fever, disturbance of consciousness and limb weakness , Convulsions and visual impairment, including 2 cases of venous thrombosis of the lower extremities. 22 cases of DSA examination in 1 case, skull MRV examination in 21 cases, involving more than two venous sinus in 12 cases, the most common involvement of the above-mentioned lag, the cause of the most common childbirth, the other due to oral contraceptives, inflammation, trauma, Anemia, 22 cases of basic recovery in 21 cases. Conclusions CVST is more common in women. The first symptom is headache. The common cause of the disease is childbirth. It can be associated with venous thrombosis and more than two venous sinuses. MRV can be used for early diagnosis. The prognosis of early treatment is good.