Vogl T J, Bergmann C U, Villringer A, Einhäupl K M, Balzer J O, Steinhoff H, Felix R
Strahlenklinik und Poliklinik der FU Berlin, Universitätsklinikum Rudolf Virchow.
Rofo. 1993 Jul;159(1):78-85. doi: 10.1055/s-2008-1032725.
30 patients clinically suspected of suffering from venous sinus thrombosis were examined by MRT with venous MR angiography (FLASH 2-D). In 8 patients selective arterial angiography was also performed and 5 patients were followed up by MR angiography after an interval of three months. The MRT images and individual MR angiography images were analysed and 3-D reconstruction performed. In 11 patients MR angiography correctly demonstrated venous sinus thrombosis; the most frequently affected were the superior sagittal sinus, the ascending cerebral veins and the transverse sinus. Compared with DSA, magnetic resonance angiography achieved a high degree of accuracy in our patients. It was significantly better in evaluating the basal sinus system whereas thrombosis of individual ascending veins was better shown by DSA. In summary, primary use of MRT and MR angiography is recommended for the diagnosis of venous sinus thrombosis.
对30例临床怀疑患有静脉窦血栓形成的患者进行了磁共振成像（MRT）检查，并采用静脉磁共振血管造影（FLASH 2-D）。8例患者还进行了选择性动脉血管造影，5例患者在间隔3个月后接受了磁共振血管造影随访。对MRT图像和个体磁共振血管造影图像进行分析并进行三维重建。11例患者的磁共振血管造影正确显示了静脉窦血栓形成；最常受累的是上矢状窦、大脑上行静脉和横窦。与数字减影血管造影（DSA）相比，磁共振血管造影在我们的患者中具有较高的准确性。在评估基底窦系统方面明显更好，而DSA在显示个体上行静脉血栓形成方面更好。总之，建议将MRT和磁共振血管造影作为诊断静脉窦血栓形成的主要方法。
