Assadsangabi R, Mohan S, Nabavizadeh S A
Department of Radiology, Division of Neuroradiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA.
Department of Radiology, Division of Neuroradiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA.
Clin Radiol. 2018 Nov;73(11):985.e7-985.e12. doi: 10.1016/j.crad.2018.06.022. Epub 2018 Aug 13.
To determine clinical manifestations, imaging findings and outcome of patients with thrombosed developmental venous anomalies (DVAs).
The radiology database was searched retrospectively for thrombosed DVAs between 01/01/2000 to 07/01/2016. Demographic variables, associated risk factors, clinical manifestations, imaging findings, treatments, and follow-up were recorded.
Six patients were found (four female and two male; age range 16-45 years with mean age, 21.3 years). The most common clinical presentation was headaches followed by neurological deficits and seizures. Venous infarction, parenchymal haemorrhage, venous congestive oedema were noted as the radiological findings. Clinical outcome was favourable in all patients with complete recovery or persistence of mild neurological symptoms.
Thrombosed DVAs may occur under rare circumstances, which lead to variable symptoms. Familiarity with this entity and early recognition of associated findings including venous infarction, parenchymal haemorrhage, and venous congestive oedema would help early diagnosis and prompt treatment.
确定血栓形成的发育性静脉异常（DVA）患者的临床表现、影像学表现及预后。
回顾性检索2000年1月1日至2016年7月1日期间放射学数据库中血栓形成的DVA。记录人口统计学变量、相关危险因素、临床表现、影像学表现、治疗方法及随访情况。
共发现6例患者（4例女性，2例男性；年龄范围16 - 45岁，平均年龄21.3岁）。最常见的临床表现是头痛，其次是神经功能缺损和癫痫发作。影像学表现为静脉梗死、实质内出血、静脉性充血性水肿。所有患者的临床结局良好，均完全恢复或仅遗留轻度神经症状。
血栓形成的DVA可能在罕见情况下发生，导致症状各异。熟悉该疾病并早期识别包括静脉梗死、实质内出血和静脉性充血性水肿等相关表现，有助于早期诊断和及时治疗。
