脑深静脉血栓形成的临床诊治

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收稿日期: 2017-07-05

Clinical diagnosis and treatment of deep cerebral venous thrombosis

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Received Date: 05 July 2017

摘要: 目的:探讨脑深静脉血栓形成的临床诊断与治疗。方法:回顾性分析2011-03-2017-01期间在我科住院经磁共振静脉成像(MRV)诊断为DCVT的5例患者的临床表现、影像学特征、治疗及预后情况。结果:意识障碍、癫痫、头痛为DCVT患者最常见临床表现。常见危险因素包括长期口服避孕药、产褥期、妊娠期、血液病、凝血系统异常。直窦和大脑大静脉血栓是DCVT患者最多见的直接征象,双侧丘脑病变为DCVT患者最常见的间接征象。抗凝治疗简单有效、静脉可恢复再通、病灶消失。结论:DCVT临床表现多样,直窦及大脑大静脉为最常见受累深静脉,双侧丘脑病变为常见影像学表现,早期及时诊断及抗凝治疗,可改善预后。
- 脑深静脉血栓形成 /
- 意识障碍 /
- MRV /
- 抗凝

[1]	Pfefferkorn T, Crassard I, Linn J, et al.Clinical features, course and outcome in deep cerebral venous system thrombosis:an analysis of 32cases[J].J Neurol, 2009, 256:1839-1845.
[2]	郭艳霞, 袁裕钧, 马英, 等.仅有头痛而影像学上累及双侧丘脑及基底节大脑深静脉血栓形成1例报告并文献复习[J].中国实用内科杂志, 2015, 35 (12):1051-1054.
[3]	Bensalah M, Squizzato A, Ould Kablia S, et al.Cerebral vein and sinus thrombosis and hyperthyrodism:a case report and a systematic review of the literature[J].Thromb Res, 2011, 128:98-100.
[4]	Laverse E, Cadet S, de Silva R, at al.Peripartum isolated cortical vein thrombosis in a mother with postdural puncture headache treated with an epidural blood patch[J].Case Rep Med, 2013, 3:701264-701264.
[5]	Stam J, De Bruijn S F, DeVeber G.Anticoagulation for cerebral sinus thrombosis[J].Cochrane Database Syst Rev, 2002, 10:CD002005-CD002005.
[6]	Stam J.Thrombosis of the cerebral veins and sinuses[J].N Engl J Med, 2005, 352:1791-1798.