Unidad de Enfermedad Tromboembólica Venosa, Medicina Interna, Hospital General Universitario Gregorio Marañón, Spain; Instituto de Investigación Sanitaria Gregorio Marañón, Spain; Facultad de Medicina, Universidad Complutense de Madrid, Spain.
Unidad de Enfermedad Tromboembólica Venosa, Medicina Interna, Hospital General Universitario Gregorio Marañón, Spain; Instituto de Investigación Sanitaria Gregorio Marañón, Spain; Facultad de Medicina, Universidad Complutense de Madrid, Spain; Facultad de Medicina, Universidad CEU San Pablo, Spain.
Rev Clin Esp (Barc). 2024 Apr;224(4):237-244. doi: 10.1016/j.rceng.2024.02.015. Epub 2024 Feb 28.
Cerebral venous thrombosis is part of the so-called thrombosis in unusual sites. It is defined as an occlusion in the cerebral venous territory. Its incidence is progressively increasing, especially in developing countries. It is more frequently observed in young women, with hormonal factors such as pregnancy or hormonal contraception being significant risk factors in the development of this condition. The clinical presentation will depend fundamentally on the topography of the thrombosis, with a confirmatory diagnosis based mainly on imaging tests. The treatment generally consists of anticoagulation, and other options may be considered depending on the severity of the case. Overall, the prognosis is better than that of other intracranial vascular disorders. This review describes the current evidence available regarding cerebral venous thrombosis.
脑静脉血栓形成是所谓的不常见部位血栓形成的一部分。它被定义为脑静脉区域的闭塞。其发病率逐渐增加，尤其是在发展中国家。它更常见于年轻女性，激素因素如妊娠或激素避孕是这种情况发展的重要危险因素。临床表现将主要取决于血栓形成的部位，主要基于影像学检查来确诊。治疗通常包括抗凝治疗，根据病情的严重程度可能还会考虑其他选择。总的来说，其预后要好于其他颅内血管疾病。本综述描述了脑静脉血栓形成的现有证据。
