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脑静脉血栓形成:婴儿原发性创伤性脑损伤的潜在模拟疾病。

Cerebral venous thrombosis: a potential mimic of primary traumatic brain injury in infants.

机构信息

Department of Radiology, Madigan Army Medical Center, 9040 Fitzsimmons Dr, Tacoma, WA 98431, USA.

出版信息

AJR Am J Roentgenol. 2011 Sep;197(3):W503-7. doi: 10.2214/AJR.10.5977.

Abstract

OBJECTIVE

Hyperdense venous thrombi on unenhanced head CT may be misinterpreted as different types of extraaxial hemorrhages, and hemorrhagic venous infarctions may be interpreted as parenchymal contusion, leading to an incorrect diagnosis of trauma as the cause of the blood products. The purpose of this article is to show the various appearances of cerebral venous thrombosis (CVT) that mimic different types of hemorrhages and to show hemorrhagic venous infarctions that mimic parenchymal contusions.

CONCLUSION

CVT, as an entity, must be kept in the differential diagnosis when patients present with extraaxial hyperdensities on unenhanced head CT so appropriate management can be initiated to minimize potentially devastating consequences.

摘要

目的

头部 CT 平扫时出现高密度静脉血栓可能会被误诊为不同类型的硬膜外出血,而出血性静脉梗死可能被误诊为脑实质挫伤,导致将创伤作为血液产物的原因的诊断错误。本文的目的是展示各种类似于不同类型出血的脑静脉血栓形成(CVT)的表现,并展示类似于脑实质挫伤的出血性静脉梗死。

结论

当患者头部 CT 平扫出现硬膜外高密度时,必须将 CVT 作为鉴别诊断的一种,以便能够开始进行适当的治疗,从而将潜在的灾难性后果降到最低。

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