中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
27期
146-149
,共4页
李勍%杨雪荣%陆明佳%李江%崔萍%王明远%李红燕%朱沂
李勍%楊雪榮%陸明佳%李江%崔萍%王明遠%李紅燕%硃沂
리경%양설영%륙명가%리강%최평%왕명원%리홍연%주기
颅内静脉和静脉窦血栓形成%临床特点%影像学特点
顱內靜脈和靜脈竇血栓形成%臨床特點%影像學特點
로내정맥화정맥두혈전형성%림상특점%영상학특점
Cerebral vein sinus thrombosis%Clinical feature%Imaging characteristics
目的:探讨颅内静脉和静脉窦血栓形成(CVST)的可能病因、临床表现、影像学特征。方法:回顾性分析2009年10月-2014年10月新疆自治区人民医院神经内科收治的32例CVST患者临床资料。32例患者均在急性/亚急性期行磁共振成像(MRI)和磁共振静脉成像(MRV)检查。结果:32例患者年龄20~54岁,平均(35±8.4)岁,女22例(68.8%)。病因未明20例(62.5%),发生于产褥期8例(25.0%),合并中耳炎3例(9.4%),口服避孕药1例(3.1%)。临床表现首发症状为头痛29例(90.6%),视力下降10例(31.3%),局灶性神经功能缺损症状9例(28.1%),痫性发作7例(21.9%),意识障碍6例(18.7%),复视1例(3.1%)。病变累及上矢状窦23例(71.9%),横窦25例(78.1%),乙状窦17例(53.1%),直窦9例(28.1%),皮层静脉2例(6.3%),下矢状窦1例(3.1%)。结论:CVST临床表现复杂多变,缺少特异性,MRI与MRV结合是目前主要的确诊CSVT的方法。
目的:探討顱內靜脈和靜脈竇血栓形成(CVST)的可能病因、臨床錶現、影像學特徵。方法:迴顧性分析2009年10月-2014年10月新疆自治區人民醫院神經內科收治的32例CVST患者臨床資料。32例患者均在急性/亞急性期行磁共振成像(MRI)和磁共振靜脈成像(MRV)檢查。結果:32例患者年齡20~54歲,平均(35±8.4)歲,女22例(68.8%)。病因未明20例(62.5%),髮生于產褥期8例(25.0%),閤併中耳炎3例(9.4%),口服避孕藥1例(3.1%)。臨床錶現首髮癥狀為頭痛29例(90.6%),視力下降10例(31.3%),跼竈性神經功能缺損癥狀9例(28.1%),癇性髮作7例(21.9%),意識障礙6例(18.7%),複視1例(3.1%)。病變纍及上矢狀竇23例(71.9%),橫竇25例(78.1%),乙狀竇17例(53.1%),直竇9例(28.1%),皮層靜脈2例(6.3%),下矢狀竇1例(3.1%)。結論:CVST臨床錶現複雜多變,缺少特異性,MRI與MRV結閤是目前主要的確診CSVT的方法。
목적:탐토로내정맥화정맥두혈전형성(CVST)적가능병인、림상표현、영상학특정。방법:회고성분석2009년10월-2014년10월신강자치구인민의원신경내과수치적32례CVST환자림상자료。32례환자균재급성/아급성기행자공진성상(MRI)화자공진정맥성상(MRV)검사。결과:32례환자년령20~54세,평균(35±8.4)세,녀22례(68.8%)。병인미명20례(62.5%),발생우산욕기8례(25.0%),합병중이염3례(9.4%),구복피잉약1례(3.1%)。림상표현수발증상위두통29례(90.6%),시력하강10례(31.3%),국조성신경공능결손증상9례(28.1%),간성발작7례(21.9%),의식장애6례(18.7%),복시1례(3.1%)。병변루급상시상두23례(71.9%),횡두25례(78.1%),을상두17례(53.1%),직두9례(28.1%),피층정맥2례(6.3%),하시상두1례(3.1%)。결론:CVST림상표현복잡다변,결소특이성,MRI여MRV결합시목전주요적학진CSVT적방법。
Objective:To investigate the possible cause, clinical symptoms and imaging characteristics of cerebral vein and sinus thrombosis (CVST).Method:The clinical data of 32 patients with CVST admitted from Octomber 2009 to Octomber 2014 in the department of neurology People’s Hospital of Xinjiang Uygur Autonomous Region were analyzed retrospectively. Magnetic resonance imaging (MRI) and magnetic resonance venography (MRV) were performed in all 32 patients in acute/subacute period.Result:In the 32 cases,22 cases (68.8%)were female,the age ranged from 20 to 54 years,the average were(35±8.4)years. No underlying risk factor was found of 20 cases (62.5%),there were 8 cases(25.0%)in puerperium, 3 cases (9.4%)in otitis media and 1 case (3.1%)of taking pill.29 cases (90.6%) of headache,10 cases(31.3%)of decreased vision,9 cases (28.1%) of focal neurological syndrome,7 cases(21.9%) of epileptic seizures,6 cases (18.7%) of conscious disturbance and 1 case (3.1%)of diplopia. 23 cases (71.9%)of superior sagittal sinus,25 cases(78.1%)of transverse sinus,17 cases (53.1%) of sigmoid sinus,9 cases (28.1%) of straight sinus, 2 cases (6.3%)of cortical veins and 1 cases (3.1%)of inferior sagittal sinus.Conclusion:The clinical manifestations of CVST are complicated and nonspecific.MRI combined with MRV is currently a major method to confirm the diagnosis of CVST.