儿童颅内静脉窦血栓形成病例报告并文献复习

A case report of cerebral venous sinus thrombosis in child and literature review

目的探讨儿童颅内静脉窦血栓形成(CVST)的危险因素、临床特点及诊疗新思路。方法总结1例CVST患儿病例的临床及影像学资料,并结合病例复习文献进行分析。结果感染、颅脑损伤、凝血异常等是引起CVST的主要危险因素,最常见的受累静脉窦为横窦和乙状窦。临床表现以急性严重头痛多见,经抗凝治疗后临床症状缓解。结论小儿CVST临床表现缺乏特异性,磁共振静脉成像(MRV)检查对可疑病例有诊断价值。

Objective To explore the risk factors, clinical features and diagnosis of new ideas of cerebral venous sinus thrombosis （ CVST） in child.Methods Clinical symptoms and imaging manifestations of 1 child with CVST were summarized, and literatures were reviewed by combining the case.Results Infection, head injury, coagulation abnormality were the major risk factors of CVST, and the most common involved sinuses were transverse sinus and sigmoid sinus.The clinical manifestation of acute severe headache was common, and anticoagulant therapy could relieve clinical symptoms.Conclusion Pediatric CVST lacks specific clinical manifestations, but magnetic resonance venography （MRV） has diagnostic value for suspected cases.