Linn Jennifer, Brückmann Hartmut
Department of Neuroradiology, University Hospital Munich, Munich, Germany,
Clin Neuroradiol. 2010 Mar;20(1):25-37. doi: 10.1007/s00062-010-9035-7. Epub 2010 Feb 28.
Cerebral venous and sinus thrombosis (CVST) constitutes a rare but important cause of stroke. It occurs in all age groups, but affects predominately young and middle-aged females. Three subtypes of CVST can be differentiated: sinus thrombosis (ST), deep cerebral venous thrombosis (DCVT), and cortical vein thrombosis (CVT). Both DCVT and CVT can present either in isolated forms or - more often - in combination with an ST. The symptoms of CVST are highly variable, thus, diagnosis is often made with a considerable delay.This review first presents a short summary of the epidemiology, risk factors, clinical signs, and prognosis of CVST. Then, the authors focus on the neuroradiologic diagnosis of this disease, and give an overview of the diagnostic value of magnetic resonance imaging (MRI), computed tomography (CT), and CT angiography (CTA) for CVST.
脑静脉窦血栓形成(CVST)是一种罕见但重要的中风病因。它发生于所有年龄组,但主要影响年轻和中年女性。CVST可分为三种亚型:窦血栓形成(ST)、大脑深静脉血栓形成(DCVT)和皮质静脉血栓形成(CVT)。DCVT和CVT既可以单独出现,也更常见地与ST合并出现。CVST的症状高度多变,因此诊断往往会有相当长的延迟。本综述首先简要总结CVST的流行病学、危险因素、临床体征和预后。然后,作者重点关注该疾病的神经放射学诊断,并概述磁共振成像(MRI)、计算机断层扫描(CT)和CT血管造影(CTA)对CVST的诊断价值。