CAJ | 학술논문

目的探讨静脉性脑梗塞的诊断及治疗策略．方法对19例确诊为静脉性脑梗死患者的病因、临床表现、影像学特征、治疗方法及预后等临床资料进行回顾性分析．结果19例患者多表现为头痛、神经功能缺损、癫痫、颅高压等症状体征．19例病例中多发病灶12例，脑叶病变18例，梗死伴出血3例．经各种方法治疗后16例好转出院，1例死亡，2例自动出院．结论静脉性脑梗死病因复杂、临床表现无特异性，MR影像表现具有特征性．早期给予抗凝、溶栓及病因治疗可获得较好的效果．
목적탐토정맥성뇌경새적진단급치료책략．방법대19례학진위정맥성뇌경사환자적병인、림상표현、영상학특정、치료방법급예후등림상자료진행회고성분석．결과19례환자다표현위두통、신경공능결손、전간、로고압등증상체정．19례병례중다발병조12례，뇌협병변18례，경사반출혈3례．경각충방법치료후16례호전출원，1례사망，2례자동출원．결론정맥성뇌경사병인복잡、림상표현무특이성，MR영상표현구유특정성．조기급여항응、용전급병인치료가획득교호적효과．
Objective To investigate diagnosis and treatment of venous cerebral infarction.Methods The reasons, clinical findings, imaging characters, treatment methods and prognosis of 19 patients diagnosed venous cerebral infarction were analyzed.Results The most frequent symptoms were headache, focal deficits, epilepsy, increased CSF pressure.Among 19 cases, multiple cerebral lesions were found in 12 cases, lobes lesions in18 cases, cerebral infarction with hemorrhage in 3 cases. After various treatments, 16 patients were discharged and one patient died and 2 patients gave up treatment. Conclusions Venous cerebral infarction has complicated causes, non-specific chinical manifestations and characteristic MR images. Anticoagulation and thrombolysis treatment in early stage may have good therapeutic effect.