Oliveira Isabela Magalhães, Duarte Juliana Ávila, Dalaqua Mariana, Jarry Vinicius Menezes, Pereira Fernanda Veloso, Reis Fabiano
Department of Radiology, Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil.
Department of Radiology and Diagnostic Imaging, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil.
Radiol Bras. 2022 Jan-Feb;55(1):54-61. doi: 10.1590/0100-3984.2021.0019.
Cerebral venous thrombosis (CVT) is an uncommon condition that is potentially reversible if properly diagnosed and promptly treated. Although CVT can occur at any age, it most commonly affects neonates and young adults. Clinical diagnosis is difficult because the clinical manifestations of CVT are nonspecific, including headache, seizures, decreased level of consciousness, and focal neurologic deficits. Therefore, imaging is crucial for the diagnosis. Radiologists should be able to identify the findings of CVT and to recognize potential imaging pitfalls that may lead to misdiagnosis. Thus, the appropriate treatment (anticoagulation therapy) can be started early, thereby avoiding complications and unfavorable outcomes.
脑静脉血栓形成(CVT)是一种罕见疾病,如果诊断正确并及时治疗,有可能逆转。虽然CVT可发生于任何年龄,但最常见于新生儿和年轻人。临床诊断困难,因为CVT的临床表现不具特异性,包括头痛、癫痫发作、意识水平下降和局灶性神经功能缺损。因此,影像学检查对诊断至关重要。放射科医生应能够识别CVT的表现,并认识到可能导致误诊的潜在影像学陷阱。这样就可以尽早开始适当的治疗(抗凝治疗),从而避免并发症和不良后果。