Al-Sulaiman Abdulla
Department of Neurology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Saudi J Med Med Sci. 2019 Sep-Dec;7(3):137-145. doi: 10.4103/sjmms.sjmms_22_19. Epub 2019 Aug 28.
Cerebral vein and dural sinus thrombosis (CVST) is an uncommon cause of stroke, but its delayed diagnosis carries significant morbidity and mortality. Several studies have reported higher incidence of CVST than that previously reported. The clinical presentation of CVST varies and can be atypical. Advancement in neuroimaging modalities has made it possible to make an early diagnosis and initiate management with a wide range of therapeutic options, including direct oral anticoagulants and endovascular treatment. This narrative review summarizes the epidemiology, clinical aspects, diagnosis and management of CVST.
脑静脉和硬脑膜窦血栓形成(CVST)是一种不常见的中风病因,但其延迟诊断会带来显著的发病率和死亡率。多项研究报告的CVST发病率高于先前报道的发病率。CVST的临床表现各异,可能不典型。神经影像学检查方法的进步使得早期诊断成为可能,并能启动包括直接口服抗凝剂和血管内治疗在内的多种治疗选择进行管理。这篇叙述性综述总结了CVST的流行病学、临床特点、诊断和治疗。