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硬脑膜窦血栓形成的计算机断层扫描

Computerized tomography in dural sinus thrombosis.

作者信息

Yee C W, Ping T K

机构信息

Department of Radiology, Tan Tock Seng Hospital, Singapore.

出版信息

Australas Radiol. 1990 Feb;34(1):24-31. doi: 10.1111/j.1440-1673.1990.tb02803.x.

Abstract

The incidence of dural sinus thrombosis (DST) appears to be on the rise. This is most probably due to an increased awareness as well as the earlier detection by computerized tomography (CT). Computerized tomography has emerged as the radiological screening procedure of choice and may in fact be the only investigation necessary. The CT scans should be done without and with contrast enhancement. A number of signs have been described; some are pathognomonic while others are nonspecific. As CT is relatively noninvasive, follow up scans at appropriate intervals can be done in patients suspected of having DST. CT can also aid in the understanding of its evolution and can prognosticate its outcome. Angiography is only reserved for a selected few where diagnosis proves difficult. We report our experience of 13 patients with DST.

摘要

硬脑膜窦血栓形成(DST)的发病率似乎在上升。这很可能是由于认识的提高以及计算机断层扫描(CT)能更早地检测出来。计算机断层扫描已成为首选的放射学筛查方法,实际上可能是唯一必要的检查。CT扫描应在平扫及增强扫描下进行。已经描述了许多征象;有些是具有诊断意义的,而有些则是非特异性的。由于CT相对无创,对于疑似患有DST的患者可以在适当的间隔时间进行随访扫描。CT还有助于了解其演变过程,并能预测其结果。血管造影仅适用于少数诊断困难的患者。我们报告了13例DST患者的经验。

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