Leonhard T, Michalik M
Psychiatr Neurol Med Psychol (Leipz). 1982 Mar;34(3):161-9.
Thromboses of cerebral veins and sinus occur both in childhood and in adult age. The clinical symptoms are variable, so that until a few years ago the diagnosis had been based exclusively on angjiography. Owing to the introduction of computer tomography, a method has now become available to the clinician which, while it does not involve great risks and stress for the patient, is of great importance in the diagnosis of thromboses of cerebral veins and sinus, especially for the observation of the course of the disease and the therapy to be employed. This is particularly true of the indication for thrombolytic and anticoagulant therapy. The computertomographic findings are described on the basis of the literature and two own observations, differentiating between direct and indirect symptoms. All changes are inconstant, which makes the appraisal difficult. At the time being, the angiographic diagnosis can rarely be renounced. Both examination methods supplement each other very well.
脑静脉和静脉窦血栓形成在儿童期和成年期均可发生。其临床症状多种多样，以至于直到几年前，诊断还完全依赖于血管造影。由于计算机断层扫描技术的引入，临床医生现在有了一种方法，这种方法对患者来说既没有很大风险，也不会造成很大压力，在脑静脉和静脉窦血栓形成的诊断中非常重要，尤其是在观察疾病进程和确定治疗方法方面。在溶栓和抗凝治疗的指征方面尤其如此。根据文献以及两项自身观察结果描述了计算机断层扫描的发现，区分了直接症状和间接症状。所有这些变化都不恒定，这使得评估变得困难。目前，血管造影诊断很少能被放弃。这两种检查方法相互补充得很好。
