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颅内静脉窦血栓形成(cerebral venous sinus throm-bosis,CVST)分为脑静脉窦及静脉血栓形成,是一种在任何年龄段都有可能发病的特殊类型的脑血管疾病,在中青年女性中较为多见。因其病因复杂,临床表现多样且无特异性临床症状,故临床无有效检出手段,漏诊、误诊率较高,使患者错过最佳的治疗时机,进而病情加重,对患者的生活、家庭造成严重的影响。随着影像学技术的不断发展,综合的影像学检查在该病的早期诊断与治疗中发挥着越来越重要的作用,使患者的病死率明显降低。本文总结了该病的病因、临床表现及多种影像学表现,旨在为临床早期诊断CVST提供帮助。
颅内静脉窦血栓形成的影像学研究进展
Progress on the imaging of cerebral venous sinus thrombosis
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摘要: 颅内静脉窦血栓形成(CVST)是以脑静脉回流障碍为核心的特殊类型脑血管疾病,因该疾病临床表现多样且缺乏特异性,故临床早期诊断较为困难。患者若不能在早期得到诊断与治疗,轻者表现为头痛,严重者可引起瘫痪甚至死亡。综合的影像学检查对该病的诊断具有重要价值,有利于该病的早期诊断。笔者就该疾病的影像学研究进展予以综述。
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关键词:
- 窦血栓形成,颅内 /
- 体层摄影术,X线计算机 /
- 磁共振成像 /
- 影像学
Abstract: The intracranial venous sinus thrombosis (CVST) is a special cerebrovascular disease with cerebral venous reflux obstruction as the core.Because of lacking the diversity and specificity of the disease, it is difficult to diagnose in the early stage of the disease.If the patient can not be diagnosed and treated in the early stage, the patients with mild symptoms present headache, and severe symptoms show paralysis or even death.Comprehensive imaging examination plays an important role in the diagnosis of the disease, and is helpful for the early diagnosis of the disease.This article reviews the progress of imaging findings of CVST. -
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