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脑静脉血栓形成中受限扩散的逆转:病例报告

Reversal of restricted diffusion in cerebral venous thrombosis: case report.

作者信息

Sarma D, Farb R I, Mikulis D J, terBrugge K G

机构信息

Fell Pavilion 3-210, Toronto Western Hospital, 399 Bathurst Street, Toronto, ON M5T 2S8, Canada.

出版信息

Neuroradiology. 2004 Feb;46(2):118-21. doi: 10.1007/s00234-003-1121-y. Epub 2004 Jan 16.

DOI:10.1007/s00234-003-1121-y
PMID:14726984
Abstract

We report a patient with extensive cerebral venous thrombosis who showed complete reversal of restricted diffusion on MRI, accompanied by excellent clinical recovery. The implications of these findings in relation to interpretation of diffusion changes in cerebral venous thrombosis are discussed, and differences with arterial stroke are highlighted.

摘要

我们报告了一名患有广泛脑静脉血栓形成的患者,其磁共振成像(MRI)上显示的扩散受限完全逆转,同时临床恢复良好。本文讨论了这些发现对于解释脑静脉血栓形成中扩散变化的意义,并强调了与动脉性卒中的差异。

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本文引用的文献

1
Intracranial venous system: gadolinium-enhanced three-dimensional MR venography with auto-triggered elliptic centric-ordered sequence--initial experience.颅内静脉系统:采用自动触发椭圆中心排序序列的钆增强三维磁共振静脉造影——初步经验
Radiology. 2003 Jan;226(1):203-9. doi: 10.1148/radiol.2261020670.
2
Diffusion-weighted magnetic resonance imaging of dural sinus thrombosis.硬脑膜窦血栓形成的磁共振扩散加权成像
Neuroradiology. 2002 Jun;44(6):481-8. doi: 10.1007/s00234-002-0772-4. Epub 2002 Apr 25.
3
Intracranial venous hemodynamics is a factor related to a favorable outcome in cerebral venous thrombosis.
Eur Radiol. 2005 Aug;15(8):1701-4. doi: 10.1007/s00330-004-2440-z. Epub 2004 Jul 31.
颅内静脉血流动力学是与脑静脉血栓形成良好预后相关的一个因素。
Stroke. 2002 Jun;33(6):1645-50. doi: 10.1161/01.str.0000016507.94646.e6.
4
Serial analysis of the apparent diffusion coefficient time course in human stroke.人类中风中表观扩散系数时间进程的序列分析
Neuroradiology. 2002 Apr;44(4):294-8. doi: 10.1007/s00234-001-0720-8. Epub 2002 Feb 2.
5
Normobaric hyperoxia reduces MRI diffusion abnormalities and infarct size in experimental stroke.常压高氧可减轻实验性中风的MRI弥散异常和梗死灶大小。
Neurology. 2002 Mar 26;58(6):945-52. doi: 10.1212/wnl.58.6.945.
6
Diffusion-weighted magnetic resonance in cerebral venous thrombosis.脑静脉血栓形成的磁共振扩散加权成像
Arch Neurol. 2001 Oct;58(10):1569-76. doi: 10.1001/archneur.58.10.1569.
7
Reversible parkinsonism and MRI diffusion abnormalities in cortical venous thrombosis.皮质静脉血栓形成中的可逆性帕金森综合征与磁共振成像扩散异常
Neurology. 2001 Jul 24;57(2):364-6. doi: 10.1212/wnl.57.2.364-a.
8
Evidence for cytotoxic edema in the pathogenesis of cerebral venous infarction.细胞毒性水肿在脑静脉梗死发病机制中的证据。
AJNR Am J Neuroradiol. 2001 Mar;22(3):450-5.
9
Diffusion-weighted imaging patterns of brain damage associated with cerebral venous thrombosis.与脑静脉血栓形成相关的脑损伤的弥散加权成像模式
AJNR Am J Neuroradiol. 2001 Feb;22(2):261-8.
10
Late resolution of diffusion-weighted MRI changes in a patient with prolonged reversible ischemic neurological deficit after thrombolytic therapy.溶栓治疗后出现长时间可逆性缺血性神经功能缺损的患者,其扩散加权磁共振成像改变的延迟消退
Stroke. 2000 Nov;31(11):2715-8. doi: 10.1161/01.str.31.11.2715.