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闭合性颅脑损伤后乙状窦血栓形成的临床描述非常少见,其临床过程尚不清楚。作者报道5例儿童闭合性颅脑损伤后左侧乙状窦血栓形成患者,介绍了临床表现,放射学发现及治疗结果。 患儿男3例,女2例,年龄1～7岁。均为枕部外伤,4例轻伤(坠落伤3例,汽车撞伤1例),1例重伤,系车祸所致。全部患者伤后1～4天表现为迟发性神经症状或原有症状加重:共济失调步态,呕吐,头痛或兴奋。2例眼球震颤,2例有Battle征和左侧鼓室积血,2例眶周瘀斑。伤后3小时～5天头颅CT扫描显示左侧乙状窦区域局灶性高密度灶,
The clinical description of sigmoid sinus thrombosis after closed head injury is very rare, the clinical course is not clear. The authors report on 5 patients with left-sided sigmoid sinus thrombosis following closed head injury, presenting clinical findings, radiological findings and treatment outcomes. 3 cases of children with male and 2 females, aged 1 to 7 years old. All were occipital trauma, 4 minor injuries (crashes in 3 cases, 1 case of automobile injury), 1 case of serious injury caused by a car accident. 1 to 4 days after injury in all patients showed delayed neurological symptoms or worsening of the original symptoms: ataxia gait, vomiting, headache or excitement. 2 cases of nystagmus, 2 cases of Battle sign and left tympanoid hemorrhage, 2 cases of periorbital ecchymosis. 3 hours after injury to 5 days cranial CT scan showed that the left side of the sigmoid sinus region of high-density focal lesions,