颅内静脉系统血栓形成的早期诊断及治疗

Early diagnosis and treatment of intracranial venous thrombosis

目的探讨颅内静脉系统血栓形成的早期诊断及治疗方法。方法分析8例颅内静脉系统血栓形成的病因、症状、体征、头颅CT和MR检查、脑电图、脑脊液及血液流变学的特点。结果病因多为产褥期及感染,常表现为颅内高压征及局灶神经功能缺损,头颅CT和MR检查可确诊。结论对于临床有颅内高压和局灶神经功能缺损表现,尤其是产褥期或有感染者,应警惕颅内静脉系统血栓形成,需行头颅CT和MR检查确诊,并尽早抗凝治疗。

Objective To study the early diagnosis and treatment of intracranial venous thrombosis. Method The etiology, clinical manifestations, presentations in cerebral CT and magnetic resonance imaging (MRI), electroencephalogram (EEG) features, and the results of cerebral spinal fluid and blood rheological examinations were analyzed in 8 cases of intracranial venous thrombosis. Results Thrombosis often arose during the puerperium and from infection, with the frequent presentations of intracranial hypertension and focal neurological defect. CT and MRI examinations were helpful in the diagnosis. Conclusion For patients who present both intracranial hypertension and focal neurological defects, especially during the puerperium or with infection episodes, CT and MRI examinations should be performed to detect intracranial venous thrombosis.