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非增强头颅CT在脑静脉血栓形成诊断中的应用概述

Overview of the utility of noncontrast CT brain in the diagnosis of cerebral vein thrombosis.

作者信息

Dalton Bryan, Doran Simon

机构信息

Radiology Department, St James' Hospital, Dublin, Ireland.

出版信息

Radiol Case Rep. 2024 Nov 13;20(1):736-742. doi: 10.1016/j.radcr.2024.10.035. eCollection 2025 Jan.

Abstract

Cerebral venous thrombosis (CVT) accounts for approximately 1% of all stroke presentations and due to variable clinical presentation, it can present a diagnostic difficulty. The purpose of this review is to re-iterate the usefulness of noncontrast CT brain (CTB) in detecting CVT. In this pictorial essay, we highlight our experience in multiple cases where unenhanced CTB demonstrated imaging features of CVT allowing early diagnosis and ensuing prompt management of CVT. This reduces reliance on additional imaging modalities which may prove beneficial in departments where modalities such as magnetic resonance venogram which is considered gold standard imaging for CVT, are not readily available. This in turn may prove crucial in provision of earlier diagnosis and more favorable prognostic outcomes.

摘要

脑静脉血栓形成(CVT)约占所有卒中病例的1%,由于临床表现多样,其诊断存在困难。本综述的目的是重申非增强头颅CT(CTB)在检测CVT方面的作用。在这篇影像论文中,我们重点介绍了多例病例的经验,其中未增强的CTB显示出CVT的影像学特征,从而实现了CVT的早期诊断及后续的及时治疗。这减少了对其他成像方式的依赖,在那些磁共振静脉造影(被认为是CVT的金标准成像方式)等检查手段不易获得的科室,这可能会被证明是有益的。这反过来可能对早期诊断和更有利的预后结果至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9152/11605352/f4c59c48ec4c/gr1.jpg

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