颅内静脉窦血栓形成的影像学研究进展-《国际放射医学核医学杂志》

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Title:: Progress on the imaging of cerebral venous sinus thrombosis

作者:: 沈倩; 兰永树; 646000, 泸州, 西南医科大学附属医院放射科

Author(s):: Shen Qian; Lan Yongshu; Department of Radiology, the Affiliated Hospital of Southwest Medical University, Luzhou 646000, China

关键词:: 窦血栓形成; 颅内; 体层摄影术; X线计算机; 磁共振成像; 影像学

Keywords:: Sinus thrombosis; intracranial; Tomograghy; X-rays computed; Magnetic resonance imaging; Imaging

DOI:: 10.3760/cma.j.issn.1673-4114.2017.04.011

摘要:: 颅内静脉窦血栓形成（CVST）是以脑静脉回流障碍为核心的特殊类型脑血管疾病，因该疾病临床表现多样且缺乏特异性，故临床早期诊断较为困难。患者若不能在早期得到诊断与治疗，轻者表现为头痛，严重者可引起瘫痪甚至死亡。综合的影像学检查对该病的诊断具有重要价值，有利于该病的早期诊断。笔者就该疾病的影像学研究进展予以综述。

Abstract:: The intracranial venous sinus thrombosis (CVST) is a special cerebrovascular disease with cerebral venous reflux obstruction as the core.Because of lacking the diversity and specificity of the disease,it is difficult to diagnose in the early stage of the disease.If the patient can not be diagnosed and treated in the early stage,the patients with mild symptoms present headache,and severe symptoms show paralysis or even death.Comprehensive imaging examination plays an important role in the diagnosis of the disease,and is helpful for the early diagnosis of the disease.This article reviews the progress of imaging findings of CVST.

参考文献/References:

[1] 刘群, 刘衡, 朱克文, 等. MRI及磁共振静脉血管成像诊断脑静脉窦血栓形成[J].中国医学影像技术, 2011, 27(6):1121-1124. Liu Q, Liu H, Zhu KW, et al. MRI and Mr venography in diagnosis of cerebral venous sinus thrombosis[J]. Chin J Med Imaging Technol, 2011, 27(6):1121-1124.
[2] Bousser MG. Cerebral venous thrombosis:diagnosis and management[J]. J Neurol, 2000, 247(4):252-258. DOI:10.1007/s004150050579.
[3] Ashjazadeh N, Haghighi AB, Poursadeghfard M, et al. Cerebral venoussinus thrombosis:a case series analysis[J]. Iran J Med Sci,2011, 36(3):178-182.
[4] Uthman I, Khalil I, Sawaya R, et al. Lupus anticoagulant, Factor V Leiden, and methylenetetrahydrofolate reductase gene mutation in a lupus patient with cerebral venous thrombosis[J]. Clin Rheumatol, 2004, 23(4):362-363. DOI:10.1007/s10067-004-0893-8.
[5] 郑丽琴, 陈静炯, 赵玉武. 颅内静脉窦血栓形成的遗传性易栓危险因素研究现状[J]. 中国卒中杂志, 2016, 11(7):594-600. DOI:10.3969/j.issn.1673-5765.2016.07.014. Zheng LQ, Chen JJ, Zhao YW. Research progress in inherited thrombophilia associated with cerebral venous sinus thrombosis[J]. Chin J Stroke, 2016, 11(7):594-600.
[6] O’brien P, Heaney D. Cerebrovascular complications during pregnancy and the puerperium[J]. Eur J Neurol, 2011, 18(6):801-802. DOI:10.1111/j.1468-1331.2011.03369.x.
[7] Coutinho JM, Ferro JM, Canh?o P, et al. Cerebral venous and sinus thrombosis in women[J]. Stroke, 2009, 40(7):2356-2361. DOI:10.1161/STROKEAHA.108.543884.
[8] Stam J. Cerebral venous and sinus thrombosis:incidence and causes[J]. Adv Neurol, 2003, 92:225-232.
[9] Thammishetti V, Dharanipragada S, Basu D, et al. A prospective study of the clinical profile, outcome and evaluation of D-dimer in cerebral venous thrombosis[J]. J Clini Diagn Res, 2016:10(6):7-10. DOI:10.7860/JCDR/2016/19114.7926.
[10] Nie Q, Guo P, Ge J, et al. Cerebral venous sinus thrombosis with cerebral hemorrhage during early pregnancy[J]. Neurosciences (Riyadh), 2015, 20(1):48-51.
[11] Deguchi I, Dembo T, Kato Y, et al. A patient with deep cerebral venous sinus thrombosis in whom neuroendovascular therapy was effective[J]. J Stroke Cerebrovasc Dis, 2012, 21(8):911. e5-8[2017-01-01]. http://www.sciencedirect.com/science/article/pii/S1052305711003302?via%3Dihub. DOI:10.1016/j.jstrokecerebrovasdis.2011. 11.007.
[12] 费兆霞, 张颖, 高岚, 等. 单纯皮质静脉血栓形成1例报道[J]. 中风与神经疾病杂志, 2014, 31(7):652-653. Fei ZX, Zhang Y, Gao L, et al. Isolated cortical vein thrombosis:A case report[J]. J Apoplexy Nerv Dis, 2014, 31(7):652-653.
[13] Aidi S, Chaunu MP, Biousse V, et al. Changing pattern of headache pointing to cerebral venous thrombosis after lumbar puncture and intravenous high-close corticosteroids[J]. Headache, 1991, 39(8):559-564. DOI:10.1046/j.1526-4610.1999.3908559.x.
[14] Smith R, Hourihan MD. Investigating suspected cerebral venous thrombosis[J]. BMJ, 2007, 334(7597):794-795. DOI:10.1136/bmj.39154.636968.47.
[15] Tomandl BF, Hastreiter P, Rezk-Salama C, et al. Local and remote visualization techniques for interactive direct volume rendering in neuroradiology[J]. Radiographics, 2001, 21(6):1561-1572. DOI:10.1148/radiographics.21.6.g01nv241561.
[16] Lell MM, Anders K, Uder M, et al. New techniques in CT angiography[J]. Radiographics, 2006, 26(Suppl 1):S45-62. DOI:10.1148/rg.26si065508.
[17] 朱美娜, 邢影, 吴淼, 等. 颅内静脉窦血栓的影像学研究进展[J]. 中国老年学杂志, 2015, 35(7):2007-2009. DOI:10.3969/j.issn.1005-9202.2015.07.124. Zhu MN, Xing Y, Wu M, et al. Progress on the imaging of cerebral venous sinus thrombosis[J]. Chin J Gerontol, 2015, 35(7):2007-2009.
[18] 方小波, 梁燕玲. 孕产妇脑静脉窦及静脉血栓形成的早期诊断及误诊分析[J]. 中国卒中杂志, 2015, 10(4):354-358. DOI:10.3969/j.issn.1673-5765.2015.04.013. Fang XB, Liang YL. Early diagnosis and analysis of misdiagnosis of cerebral venous and sinus thrombosis during pregnancy and the puerperium[J]. Chin J Stroke, 2015,10(4):354-358.
[19] 马英, 宋利春, 李琦, 等.孕产妇颅内静脉窦血栓形成的CT、MRI、MRV、DSA诊断[J]. 中国医学影像学杂志, 2009, 17(2):142-145. DOI:10.3969/j.issn.1005-5185.2009.02.020. Ma Y, Song LC, Li Q, et al. The diagnosis of CT, MRI, MRV and DSA in cerebral venous sinus thrombosis during pregnancy and puerperium[J]. Chinese J Med Imaging, 2009, 17(2):142-145.
[20] 曹益瑞,吴波.《中国颅内静脉系统血栓形成诊断和治疗指南2015》解读[J]. 中国现代神经疾病杂志, 2016,16(11):741-744.DOI:10.3969/j.issn.1672-6731.2016.11.004. Cao YR, Wu B. Interpretation of "Guideline for diagnosis and treatment of cerebral venous sinus thrombosis in China 2015"[J]. Chin J Contemp Neurol Neurosurg, 2016, 16(11):741-744.
[21] Sahin N, Solak A, Genc B, et al. Cerebral venous thrombosis as a rare cause of subarachnoid hemorrhage:case report and literature review[J]. Clin Imaging, 2014, 38(4):373-379. DOI:10.1016/j.clinimag. 2014.03.005.
[22] Forbes KP, Pipe JG, Heiserman JE. Evidence for cytotoxic edema in the pathogenesis of cerebral venous infarction[J]. AJNR Am J Neuroradiol, 2001, 22(3):450-455.
[23] Yoshikawa T, Abe O, Tsuchiya K, et al. Diffusion-weighted magnetic resonance imaging of duralsinus thrombosis[J]. Neuroradiology, 2002, 44(6):481-488. DOI:10.1007/s00234-002-0772-4.
[24] Kitamura Y, Hara K, Tsunematsu K. Isolated superficial sylvian vein thrombosis with long cord sign:case report and review of the literature[J]. Neurol Med Chir (Tokyo), 2014, 54(3):253-259. DOI:10.2176/nmc.cr2012-0220.
[25] 陈德强, 贺丹, 冯平勇, 等. 磁敏感加权成像对脑静脉(窦)血栓形成的诊断价值[J]. 临床放射学杂志, 2009, 28(7):755-758. DOI:10.13437/j.cnki.jcr.2009.07.017. Chen DQ, He D, Feng PY, et al. Value of susceptibility weighted imaging in diagnosing cerebral venous sinus thrombosis[J]. J Clin Radiol, 2009, 28(7):755-758.
[26] 俞英欣, 姚生, 郑奎宏,等. 磁敏感加权成像及T2^*梯度回波序列在颅内静脉血栓形成中的应用[J]. 中风与神经疾病杂志, 201633(4):330-333. Yu YX, Yao S, Zheng KH, et al. Application of susceptibility weighted imaging and T2^* susceptibility weighted imaging in cerebral venous thrombosis[J]. J Apoplexy Nerv Dis, 2016, 33(4):330-333.
[27] 周立新, 倪俊, 朱以诚, 等. 脑静脉血栓的影像诊断[J]. 中国卒中杂志, 2014, 9(10):838-845. DOI:10.3969/j.issn.1673-5765.2014. 10.007. Zhou LX, Ni J, Zhu YC, et al. Imaging of cerebral venous thrombosis[J]. Chin J Stroke, 2014, 9(10):838-845.
[28] 陈刚, 向伟楚, 李俊, 等. 脑血流彩色全循环成像对脑静脉窦血栓形成诊断评价的研究[J]. 中国临床神经外科杂志, 2015, 20(6):321-325. DOI:10.13798/j.issn.1009-153X.2015.06.001. Chen G, Xiang WC, Li J, et al. Value of cerebral blood flow images of color full cycle to diagnosis of cerebral venous sinus thrombosi[J]. Chin J Clin Neurosurg, 2015, 20(6):321-325.
[29] 陈晶. 多普勒超声对脑静脉系统血栓形成的诊断价值[J]. 中国卒中志, 2013, 8(12):965-969. Chen J. Diagnostic value of doppler ultrasound to cerebral venous thrombosis[J]. Chin J Stroke, 2013, 8(12):965-969.

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