原发性颅内压升高患者中颅内静脉窦血栓的发病情况

• 作 者: 丁振强 具海月 魏世辉
• 机 构: 解放军总医院,解放军总医院放射科,解放军总医院,
• 出 处: 眼科
• 发表日期: 2007年06期
• 关键词: 原发性颅内高压 颅内静脉窦血栓形成 磁共振成像 磁共振静脉扫描

目的探讨原发性颅内高压(IIH)患者中颅内静脉窦血栓形成(CVST)的发病情况。设计回顾性病例系列。研究对象92例原发性颅内高压患者。方法搜集并整理2000年1月1日至2007年5月1日在我院确诊为视神经乳头水肿患者,排除患有占位性病变、脑积水或脑膜炎患者。连续录入已行腰穿、核磁共振扫描(MRI)和核磁共振静脉扫描(MRV)检查的患者。主要指标原发性颅内高压(IIH)患者中颅内静脉窦血栓形成(CVST)的发生情况。结果117例视神经乳头水肿患者排除颅内占位性病变、脑膜炎或脑积水病例,录入的92名IIH患者中7例发生CVST,发生率为7.6%,1例可疑CVST。7例IIH患者单独行MRI检查,其中1例患有CVST,联合MRV检查分析后均可明确诊断CVST。结论已确诊IIH患者CVST发生率为7.6%,MRI联合MRV检查可以明确CVST诊断。(眼科,2007,16:410-413)

Objective To investigate the incidence of intracranial venous sinus thrombosis (CVST) in patients with primary intracranial hypertension (IIH). Design retrospective case series. 92 patients with primary intracranial hypertension patients. Methods To collect and collate the patients diagnosed as optic papillae edema in our hospital from January 1, 2000 to May 1, 2007 and exclude patients with space-occupying lesions, hydrocephalus or meningitis. Continuous recordings were performed on lumbar puncture, magnetic resonance imaging (MRI) and magnetic resonance venography (MRV) examination of patients. Main Indicators The incidence of intracranial venous sinus thrombosis (CVST) in patients with primary intracranial hypertension (IIH). Results Of the 117 patients with optic papilla edema, those with intracranial lesions, meningitis or hydrocephalus were excluded. Among the 92 patients with IIH, 7 were CVST with a rate of 7.6% and 1 suspicious CVST. 7 cases of IIH patients underwent MRI examination alone, including 1 case of CVST, combined with MRV examination analysis can confirm the diagnosis of CVST. Conclusions The incidence of CVST in patients with IIH was confirmed to be 7.6%. MRI combined with MRV can confirm the diagnosis of CVST. (Ophthalmology, 2007,16: 410-413)