摘要
目的:探讨脑静脉及上矢状窦血栓形成(CVT)的临床表现、影像学特征以及诊断治疗方法。方法:对近3年来我院收治的12例上矢状窦血栓形成病例的临床资料进行回顾性分析。结果:患者临床表现多样,无特异性,初诊误诊率75%。MRI联合MRV检查有助于SSST的确诊。经早期诊断、及时治疗,患者痊愈6例,好转5例,死亡1例。结论:中青年患者表现为头痛、呕吐、伴或不伴局灶性神经功能缺损,腰椎穿刺检查提示颅内压升高时应高度警惕CVT可能。围产期女性为高危人群。早期诊断、早期治疗可明显改善SSST患者的预后。
Objective：To explore the clinical manifestation,radiological feature,the diagnosis and treatment of the superior saggital sinus thrombosis （SSST）.Methods：Retrospectively analyzed the clinical data of the 12 SSST cases admitted in our hospital in the recent 3 years.Results：The clinical manifestation of the 12 SSST were various and non-specific,so that the misdiagnosis rate of the preliminary diagnosis was 75% in our group.MRI combined with MRV might give the correct diagnosis.With earlier diagnosis and in-time treatment,6 patients were healed,5 improved,and 1 died.Conclusion：Young patients with headache,vomiting,with or without other focal neurological impairment,and increased intracranial pressure the CVT should be highly suspected,especially women in the perinatal stage.Earlier diagnosis and in-time treatment could improve the prognosis.
出处
《华西医学》
CAS
2008年第3期454-455,共2页
West China Medical Journal
