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目的探讨脑静脉窦血栓形成的病因、临床表现、影像学诊断特点及溶栓、抗凝、扩容治疗效果。方法报告1例上矢状窦血栓形成患者的病因、临床特点、影像学检查资料及溶栓、抗凝治疗后疗效、随访其预后。结果上矢状窦血栓形成主要累及顶、额叶,可表现为精神症状、癫痫发作及意识障碍,多发生在产褥期。MRV磁共振静脉造影可有特异性表现。早期溶栓、抗凝、扩容治疗后很快康复。随访半年无症状复发。结论脑静脉窦血栓形成是由于多种原因的血液高凝状态而引起的颅内静脉系统血栓形成。MRV可帮助明确诊断。溶栓、抗凝、扩容治疗可取得满意疗效,早期治疗预后好。
Objective To explore the etiology, clinical manifestations, diagnostic characteristics of cerebral venous sinus thrombosis and the therapeutic effect of thrombolysis, anticoagulation and dilatation. Methods One case of superior sinusoid thrombosis was analyzed for etiology, clinical features, radiographic findings and the efficacy of thrombolysis and anticoagulation therapy. The prognosis was followed up. Results The upper sagittal sinus thrombosis mainly involved the top and frontal lobes, which can be manifested as psychiatric symptoms, seizures and disturbance of consciousness, mostly in the puerperium. MRV magnetic resonance venography can have specific performance. Early thrombolysis, anticoagulation, dilatation and recovery soon after treatment. Follow-up six months asymptomatic recurrence. Conclusions Cerebral venous sinus thrombosis is caused by intracranial venous thrombosis caused by various causes of blood hypercoagulation. MRV helps to confirm the diagnosis. Thrombolytic, anticoagulant, dilatation of treatment can be satisfied with the efficacy of early treatment of good prognosis.