青年头痛与静脉窦狭窄关系的研究

The relationship between primary headaches and sinus venous stenosis in youth

目的通过磁共振静脉血管成像(MRV)对横窦、上矢状窦及直窦的发育情况的显示,探讨静脉窦狭窄与青年原发性头痛的关系。方法回顾性分析行MRV检查的青年患者,头痛组28例,对照组24例的静脉窦的MRV表现。结果头痛组和对照组的横窦狭窄情况、狭窄程度的差异有统计学意义(P<0.05);上矢状窦狭窄仅有1例,为头痛患者;所有患者直窦均未见明显狭窄。结论对于青年人在排除相关病变后仍然不明确头痛的原因,应考虑静脉窦发育不良这一情况,特别是横窦发育不良。

Objective To study the relationship between the sinus venous stenosis and primary headache by the MRV showing the development of the transverse sinus,the superior sagittal sinus and straight sinus. Methods 28 cases with headache and 24 cases without headache sinus MRV performance as controls were retrospectively analyzed between January 2012 and June 2014. Results The transverse sinus stenosis and the degree of stenosis had significant differences between headache group and control group( P < 0. 05).The case of the superior sagittal sinus stenosis was only one,resulting from patients with headache. All the patients didn't have the obvious sign of straight sinus stenosis. Conclusion During the clinical work,for the adults' unexpected headache,we'd better take that venous sinus stenosis into our consideration,especially the transverse sinus stenosis.