Bergui Mauro, Bradac Gianni Boris
Department of Neuroradiology, University of Turin, Ospedale S. Giovanni Battista, Turin, Italy.
Cerebrovasc Dis. 2003;16(3):211-6. doi: 10.1159/000071118.
BACKGROUND/OBJECTIVES: Cerebral venous thrombosis may cause focal brain lesions or an isolated intracranial hypertension without focal signs. We investigated whether these different clinical pictures correspond to different patterns of dural sinus thrombosis.
Forty-eight patients with cerebral venous thrombosis were classified in 2 groups based on the clinical and neuroradiological picture at admission: one group had clinical signs of intracranial hypertension, without focal neurological signs; the other group had focal neurological signs. The extension of thrombosis in dural sinuses was compared between the groups.
The amount of thrombosed sinuses was significantly different in the two groups, the involvement of the dural sinuses being greater in patients with isolated intracranial hypertension.
The clinical picture of cerebral venous thrombosis is related to the pattern of dural sinus involvement. The presence of isolated intracranial hypertension is more frequent in patients with a more extended thrombosis of the dural sinuses.
背景/目的：脑静脉血栓形成可能导致局灶性脑病变或孤立性颅内高压而无局灶性体征。我们研究了这些不同的临床表现是否对应于不同的硬脑膜窦血栓形成模式。
48例脑静脉血栓形成患者根据入院时的临床和神经放射学表现分为两组：一组有颅内高压的临床体征，但无局灶性神经体征；另一组有局灶性神经体征。比较两组硬脑膜窦血栓形成的范围。
两组血栓形成的硬脑膜窦数量有显著差异，孤立性颅内高压患者的硬脑膜窦受累更严重。
脑静脉血栓形成的临床表现与硬脑膜窦受累模式有关。硬脑膜窦血栓形成范围更广的患者更常出现孤立性颅内高压。
