Servais S, Scholtes F, Roemers S, Martin D
Université de Liege, CHU de Liège.
Rev Med Liege. 2009 Jan;64(1):25-31.
Cerebral venous thrombosis is a rare cause of stroke. Clinical presentation is not very specific and can be very variable. Imaging establishes the diagnosis in the majority of cases. Specially, magnetic resonance venography has high sensitivity and is presently the gold standard. Long term prognosis of cerebral venous thrombosis is generally good and few patients remain handicapped in the long term. Evolution is however unpredictable. Treatment strategies follow three axes: anti-thrombotic treatment, symptomatic measures and treatment of the cause if one is found.
脑静脉血栓形成是一种罕见的中风病因。临床表现不太特异,且变化很大。大多数情况下通过影像学检查来确诊。特别是,磁共振静脉血管造影具有很高的敏感性,目前是金标准。脑静脉血栓形成的长期预后总体良好,很少有患者会长期致残。然而,其病情发展是不可预测的。治疗策略包括三个方面:抗血栓治疗、对症措施以及如果找到病因则进行病因治疗。