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Clinical and Imaging Analysis of 32 Cerebral Vein and Sinus Thrombosis |
People’s Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830002,China |
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Abstract Objective:To investigate the possible cause, clinical symptoms and imaging characteristics of cerebral vein and sinus thrombosis( CVST).Method:The clinical data of 32 patients with CVST admitted from Octomber 2009 to Octomber 2014 in the department of neurology People’s Hospital of Xinjiang Uygur Autonomous Region were analyzed retrospectively. Magnetic resonance imaging( MRI) and magnetic resonance venography( MRV) were performed in all 32 patients in acute/subacute period.Result:In the 32 cases,22 cases( 68.8%)were female,the age ranged from 20 to 54 years,the average were(35±8.4)years. No underlying risk factor was found of 20 cases( 62.5%),there were 8 cases(25.0%)in puerperium, 3 cases( 9.4%)in otitis media and 1 case( 3.1%)of taking pill.29 cases( 90.6%) of headache,10 cases(31.3%)of decreased vision,9 cases(28.1%) of focal neurological syndrome,7 cases(21.9%) of epileptic seizures,6 cases( 18.7%) of conscious disturbance and 1 case( 3.1%)of diplopia. 23 cases( 71.9%)of superior sagittal sinus,25 cases(78.1%)of transverse sinus,17 cases( 53.1%) of sigmoid sinus,9 cases( 28.1%) of straight sinus, 2 cases( 6.3%)of cortical veins and 1 cases( 3.1%)of inferior sagittal sinus.Conclusion:The clinical manifestations of CVST are complicated and nonspecific.MRI combined with MRV is currently a major method to confirm the diagnosis of CVST.
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