颅内静脉系统血栓形成6例临床分析

目的：探讨颅内静脉系统血栓形成（CVT）的临床表现、影像学特征以及治疗方法对临床诊断的意义。方法：回顾性分析首都医科大学宣武医院收治的6例CVT患者的临床表现及影像学特征与治疗方法。结果：6例临床表现无特殊，4例经MRI＋MRV确诊，3例DSA检查确诊，1例介入治疗，4例抗凝治疗，2例保守，无死亡患者。结论：静脉系统血栓形成临床症状缺乏特异性，临床遇到急性起病的头痛、呕吐，伴或不伴有局灶性神经功能缺损或癫痫发作、意识障碍的青中年人，应高度怀疑CVT。早期应用抗凝、溶栓等治疗方法，对改善预后具有较高的临床应用价值。

Clinical Analysis of 6 Cases with Intracranial Venous Thrombosis

Objective： To investigate the clinical diagnosis significance of intracranial venous system thrombosis （CVT） of clinical, radiological characteristics and treatment method. Methods： We retrospectively analysed the clinical manifestations, imaging features and therapeutic methods of 6 CVT patients admitted in Xuanwu Hospital ,Capital Medical University. Results： 6 cases show no special, 4 cases confirmed by MRI ＋ MRV, 3 cases of DSA confirmed, 1 cases of intervention, 4 cases of anticoagulant therapy, 2 cases of conservative, no death.Conclusion： Venous system thrombosis clinical symptoms lack of specificity, the misdiaguosis rate is high, with young and middle-aged patients of acute onset headache, vomiting, with or without focal neurologic deficits or seizures, consciousness disorder, CVT should be highly suspect. Middle-aged and young patients of subacute onset, should also be vigilant, early MRI and MRV or DSA clear diagnosis and early anticoagulation, fibrinolytic therapy, such as to improve prognosis has high clinical value.