下载后可任意编辑静脉窦血栓严重吗【脑静脉窦血栓形成的临床\影像学特点及病因分析】静脉窦血栓严重吗【脑静脉窦血栓形成的临床\影像学特点及病因分析】 【 摘 要 】 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。 【关键词】 脑静脉窦血栓形成;临床;影像学;病因 Characteristics of clinic and imaging and pathogeny analysis of cerebral venous sinus thrombosis LI Hai-yan, Qi Shang-shu, Yang Qing-cheng.Department of Neurology, Anyang people’s hospital, Anyang xxxx, China 【 Abstract 】 Objective To study the clinical and imaging characteristics of cerebral venous sinus thrombosis (CVST) . Methods To analyze the date of clinical and neuroimaging of 22 patients with CVST. Results There were 5 males and 17 females among the 22 patients. The age of onset ranged from 21 to 71 years old. 13 cases had acute course, 9 cases had subacute course. The symptoms which 1下载后可任意编辑presented firstly included headache, fever, consciousness impairment, limb weakness, seizures, and weak sight. Among them, headache was the most frequent symptom. Two of these patients also suffered limb thrombosis. Among these patients, one case was performed DSA and 21 cases were performed MRV. There were...
