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目的:探讨脑静脉窦血栓形成(CVT)的临床特征及影像学特点,以寻求早期识别的征象及影像策略。方法:对62例经MR或/和DSA确诊为CVT的患者临床资料及影像学特点进行回顾性分析,并予抗凝治疗。结果:62例患者中有60例有非特异性头痛,其中56例行MRI+MRV检查确诊为CVT的有54例,32例经DSA检查均确诊为DVT。结论:CVT的临床表现缺乏特异性,MRI+MRV检查是诊断DVT的首选方法,DSA是诊断CVT的“金标准”。
Objective: To explore the clinical characteristics and imaging features of cerebral venous sinus thrombosis (CVT) in order to seek the signs and imaging strategies for early recognition. Methods: The clinical data and imaging features of 62 patients diagnosed as CVT by MR and / or DSA were retrospectively analyzed and given anticoagulant therapy. RESULTS: Sixty-two of the 62 patients had nonspecific headache. Fifty-six of 56 patients were diagnosed as having CVT by MRI + MRV and 32 by DSA. Conclusions: The clinical manifestations of CVT are lack of specificity. MRI + MRV examination is the preferred method of diagnosis of DVT. DSA is the “gold standard ” for the diagnosis of CVT.