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脑静脉窦血栓形成的CT、MRI影像特点及文献回顾 被引量:15

CT and MRI signature analysis and literature review of cerebral sinus thromsis
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摘要 目的探讨脑静脉窦血栓形成的CT、MRI影像特点,以便早期诊断、及时治疗、有效减少误诊误治。方法回顾性分析5例脑静脉窦血栓患者的影像特征及相关文献。结果5例患者均有不同程度的头痛、烦躁、神经系统定位体征,MRI表现为一侧或双侧顶叶近大脑镰处梗塞或夹杂有出血性改变。结论头痛、烦躁、神经系统定位体征是脑静脉窦血栓的常见症状和体征。MRI的特征性表现为脑肿胀,顶叶的局部性梗死,多数伴有出血。 Objective To study the CT and MRI features of cerebral sinus thrombosis for early diagnosis, treatment in time, less misdiagnosis and mistreatment. Methods The imaging features of 5 patients with cerebral sinus thrombosis and the pertinent literatures were analyzed retrospectively. Results Five patients all had headache, restlessness and focal neurological signs in different degrees. Infarction or hemorrhage in one or two sides of parietal lobe near to cerebral falx could be found in MRI. Conclusion Headache, restlessness and focal neurological signs are the common sings and symptoms of patients with cerebral sinus thrombosis. The distinctive manifestations in MRI are brain swelling, local infarction in parietal lobe or hemorrhage in majority.
出处 《中华神经医学杂志》 CAS CSCD 2005年第11期1153-1155,共3页 Chinese Journal of Neuromedicine
关键词 矢状窦血栓形成 磁共振成像 螺旋CT扫捕 Sagittal sinus thrombosis Magnetic resonance imaging Spiral CT scan
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参考文献7

  • 1李存江,王桂红,王拥军,宿英英.脑静脉窦血栓形成的早期诊断与治疗[J].中华神经科杂志,2002,35(2):65-67. 被引量:143
  • 2Bousser MG. Cerebral venous thrombosis: diagnosis and management[J]. J Neurol, 2000, 247(4): 252-258. 被引量:1
  • 3Ueda K, Nakase H, Miyamoto K, et al. Impact of anatomical difference of the cerebral venous system on microcirculation in a gerbil superior sagittal sinus occlusion model [J]. Acta Neurochir,2000, 142(1): 75-82. 被引量:1
  • 4Kawaguchi T, Kawano T, Kaneko Y, et al. Classification of venous ischaemia with MRI[J]. J Clin Neurosci, 2001, 8(suppl 1): S82-88. 被引量:1
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  • 6Gomez CR, Misra VK, Terry JB, et al. Emergency endovascular treatment of cerebral sinus thrombosis with a rheolytic catheter device[J]. J Neuron aging, 2000, 10(3): 177-180. 被引量:1
  • 7Allroggen H, Abbott RJ. Cerebral venous sinus thrombosis [J].Postgrad Med J, 2000, 76(891): 12-15. 被引量:1

二级参考文献6

  • 1王桂红 王拥军.脑静脉系统血栓形成的诊断及处理现状[J].脑血管疾病杂志,2001,1:111-113. 被引量:18
  • 2Bousser MG. Cerebral venous thrombosis: diagnosis and management. J Neurol, 2000,247,252-258. 被引量:1
  • 3Einhaupl KM,Villringer A,Meister W,et al. Heparin treatment in sinus venous thrombosis.Lancet,1991,338:597-600. 被引量:1
  • 4De Bruijn SF,Stam J.The Cerebral Venous Sinus Thrombosis Group. Randomised placebo-controlled trial of anticoagulant treatment with low molecular weight heparin for cerebral sinus thrombosis. Stroke, 1999,30:484-485. 被引量:1
  • 5Horowitz M,Purdy P, Unwin H,et al. Treatment of dural sinus thrombosis using selective catheterization and urokinase. Ann Neurol, 1995,38:58-67. 被引量:1
  • 6冯璞,黄旭升,郎森阳,陈海伦,匡培根.影响颅内静脉窦和脑静脉血栓形成正确诊断的因素与诊断探讨[J].中华神经科杂志,2001,34(3):148-148. 被引量:151

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