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目的研究上矢状窦血栓形成的临床、CT与MRI表现及治疗。方法回顾性分析1例上矢状窦血栓形成患者的临床资料。结果上矢状窦血栓形成以头痛、颅内压增高为主要表现,CT表现为脑表面或上矢状窦内圆形、条带状高密度,MRI表现为上矢状窦内流空效应消失,TWI1及TWI2均为高信号,经治疗3周后血栓变小,5周后检查血栓消失。结论上矢状窦血栓形成是颅内静脉窦血栓形成的常见类型,早期诊断、及时抗凝治疗是治愈的关键。
Objective To study the clinical, CT and MRI findings and treatment of superior sagittal sinus thrombosis. Methods A retrospective analysis of 1 case of superior sagittal sinus thrombosis in patients with clinical data. Results The superior sagittal sinus thrombosis was mainly characterized by headache and increased intracranial pressure. The CT appearances were intracavitary or superior sagittal sinus with high density of the stroma and MRI showed the disappearance of the superior sagittal sinus inflow , TWI1 and TWI2 are high signal, thrombosis after 3 weeks of treatment becomes smaller, after 5 weeks to check the thrombus disappeared. Conclusion Upper sagittal sinus thrombosis is a common type of intracranial venous sinus thrombosis. Early diagnosis and timely anticoagulant therapy are the key to cure.