Lam A H
Department of Radiology, Royal Alexandra Hospital for Children, Camperdown, Sydney, Australia.
J Ultrasound Med. 1995 Jan;14(1):41-6. doi: 10.7863/jum.1995.14.1.41.
Three cases of neonatal superior sagittal sinus thrombosis diagnosed by Doppler imaging and confirmed with either computed tomography, magnetic resonance imaging, or digital subtraction angiography are described. One infant died and the others had uneventful recovery. Young infants with superior sagittal sinus thrombosis rarely are seen for diagnostic imaging; the nonspecificity of the clinical presentation of this disorder and the difficulties with its investigation owing to the invasiveness of the radiologic procedures lead to its underdiagnosis. Magnetic resonance imaging is a sensitive, noninvasive diagnostic modality, but it is not always available and practical for the very sick infants in the critical care unit. In the cases described here, Doppler imaging proved to be diagnostic and useful in the management of superior sagittal sinus thrombosis and should be used in the initial assessment of the condition, as it is the most convenient and least traumatic diagnostic modality.
本文描述了3例经多普勒成像诊断并经计算机断层扫描、磁共振成像或数字减影血管造影证实的新生儿上矢状窦血栓形成病例。1例婴儿死亡，其他婴儿恢复顺利。患有上矢状窦血栓形成的幼儿很少接受诊断性影像学检查；这种疾病临床表现的非特异性以及由于放射学检查的侵入性导致的调查困难导致其诊断不足。磁共振成像是一种敏感的非侵入性诊断方法，但对于重症监护病房中病情非常严重的婴儿来说，它并不总是可用且实用的。在本文所述的病例中，多普勒成像被证明对上矢状窦血栓形成的诊断和治疗有用，应在病情的初始评估中使用，因为它是最方便且创伤最小的诊断方法。
