CAJ | 학술논문

目的：探讨儿童颅内静脉窦血栓形成（ CVST）的危险因素、临床特点及诊疗新思路。方法总结1例CVST患儿病例的临床及影像学资料，并结合病例复习文献进行分析。结果感染、颅脑损伤、凝血异常等是引起CVST的主要危险因素，最常见的受累静脉窦为横窦和乙状窦。临床表现以急性严重头痛多见，经抗凝治疗后临床症状缓解。结论小儿CVST临床表现缺乏特异性，磁共振静脉成像（ MRV）检查对可疑病例有诊断价值。
목적：탐토인동로내정맥두혈전형성（ CVST）적위험인소、림상특점급진료신사로。방법총결1례CVST환인병례적림상급영상학자료，병결합병례복습문헌진행분석。결과감염、로뇌손상、응혈이상등시인기CVST적주요위험인소，최상견적수루정맥두위횡두화을상두。림상표현이급성엄중두통다견，경항응치료후림상증상완해。결론소인CVST림상표현결핍특이성，자공진정맥성상（ MRV）검사대가의병례유진단개치。
Objective To explore the risk factors, clinical features and diagnosis of new ideas of cerebral venous sinus thrombosis ( CVST) in child.Methods Clinical symptoms and imaging manifestations of 1 child with CVST were summarized, and literatures were reviewed by combining the case.Results Infection, head injury, coagulation abnormality were the major risk factors of CVST, and the most common involved sinuses were transverse sinus and sigmoid sinus.The clinical manifestation of acute severe headache was common, and anticoagulant therapy could relieve clinical symptoms.Conclusion Pediatric CVST lacks specific clinical manifestations, but magnetic resonance venography (MRV) has diagnostic value for suspected cases.