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[颅内静脉血栓形成]

[Intracranial venous thrombosis].

作者信息

Skogseid I M, Wester K, Moen G

出版信息

Tidsskr Nor Laegeforen. 1997 Feb 20;117(5):692-8.

PMID:9102963
Abstract

Cerebral venous thrombosis has traditionally been considered to be a severe and rare condition. Our knowledge of this condition has increased, however, along with the development of better radiological methods for visualization of the brain and its vasculature. Cerebral angiography, computed tomography (CT) and, in particular, magnetic resonance imaging (MRI) have made it easier to diagnose this condition earlier. It has thus been discovered that cerebral venous thrombosis occurs more frequently than previously supposed and shows a wide variation of the clinical spectrum. We describe a series of eight patients with cerebral venous thrombosis who were admitted to the Neurosurgical Department, Haukeland Hospital, over a period of three years. The presentation shows the great variation in the clinical and radiological picture of this disease and the consequent diagnostic and therapeutic challenges. We conclude that this diagnosis should be considered in patients with cerebral symptoms of uncertain cause, and that MRI is an important tool in diagnosis.

摘要

传统上,脑静脉血栓形成一直被视为一种严重且罕见的病症。然而,随着用于观察脑部及其血管系统的更先进放射学方法的发展,我们对这种病症的认识有所增加。脑血管造影、计算机断层扫描(CT),尤其是磁共振成像(MRI),使得更早诊断这种病症变得更加容易。因此,现已发现脑静脉血栓形成的发生频率比先前认为的更高,并且临床表现范围广泛。我们描述了在三年时间里收治于豪克兰德医院神经外科的一系列八例脑静脉血栓形成患者。该病例展示了这种疾病在临床和放射学表现上的巨大差异以及随之而来的诊断和治疗挑战。我们得出结论,对于病因不明的脑部症状患者应考虑这一诊断,并且MRI是诊断中的一项重要工具。

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