CAJ | 학술논문

目的探讨大脑皮层静脉血栓的临床、影像学特点,以便早期诊断、及时治疗.方法收集2010年首都医科大学宣武医院诊治的皮层静脉血栓患者,对其临床及影像学资料进行回顾性分析.结果共收集4例皮层静脉血栓患者,平均年龄40岁.临床症状主要表现为不同程度的头痛、局灶性神经系统体征,CT、MR1表现为一侧或双侧、单发或多发的出血或梗死改变.其中1例出血,1例梗死,2例梗死伴出血.结论头痛、局灶性神经系统体征是大脑皮层静脉血栓的常见症状,CT、MRI是辅助诊断大脑皮层静脉血栓较为有效的方法.
목적 탐토대뇌피층정맥혈전적림상、영상학특점,이편조기진단、급시치료.방법 수집2010년수도의과대학선무의원진치적피층정맥혈전환자,대기림상급영상학자료진행회고성분석.결과 공수집4례피층정맥혈전환자,평균년령40세.림상증상주요표현위불동정도적두통、국조성신경계통체정,CT、MR1표현위일측혹쌍측、단발혹다발적출혈혹경사개변.기중1례출혈,1례경사,2례경사반출혈.결론 두통、국조성신경계통체정시대뇌피층정맥혈전적상견증상,CT、MRI시보조진단대뇌피층정맥혈전교위유효적방법.
Objective To investigate thc clinical and radiological characteristics of cortical vein thrombosis for early diagnosis and treatment.Methods Retrospective analysis was carried out with the clinical cases of cortical vein thrombosis in 2010.The symptoms,sign,neuroimaging were analyzed and related literatures were reviewed.Results Four patients were collected,average age was forty years old.The main symptoms were headache and focal neurological signs in varying degrees,intarction or hemorrhage in one or two sides of parietal lobe could be found in CT or MRI.Hemorrhage was found in two patients,infarction was found in one patient,hemorthage and infarction were both found in another patient.Conclusions Headachc and focal neurological signs are the common sings and symptoms of patients with cortical vein thrombosis.CT and MRI are effective methods for the diagnosis of cortical vein thrombosis.