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成人脑静脉血栓形成:影像学评估与管理的作用

Cerebral venous thrombosis in adults: the role of imaging evaluation and management.

作者信息

Lee Seon-Kyu, terBrugge Karel G

机构信息

Department of Medical Imaging, Toronto Western Hospital, Fell Pavilion 3-210, University of Toronto, 399 Bathurst Street, Toronto, ON M5T 2S8, Canada.

出版信息

Neuroimaging Clin N Am. 2003 Feb;13(1):139-52. doi: 10.1016/s1052-5149(02)00095-3.

DOI:10.1016/s1052-5149(02)00095-3
PMID:12802945
Abstract

Clinical suspicion and excellent neuroimaging are crucial in making a diagnosis of CVT. Intravascular or dural sinus thrombus can be visualized on CT and MRI. Brain edema and intracranial hemorrhage that do not conform to an arterial territory are frequently evident on CT and MRI. Heparin treatment is accepted as the first-line treatment of CVT. Endovascular treatment for management of CVT is usually reserved for selected cases after failure of anticoagulation.

摘要

临床怀疑和高质量的神经影像学检查对于诊断脑静脉窦血栓形成(CVT)至关重要。血管内或硬脑膜窦血栓在CT和MRI上均可显影。不符合动脉供血区的脑水肿和颅内出血在CT和MRI上常常很明显。肝素治疗被公认为CVT的一线治疗方法。CVT的血管内治疗通常用于抗凝治疗失败后的特定病例。

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