Characteristics of Images for Early Cerebral Venous Sinus Thrombosis_West China Medical Journal

Authors：

 WANGBin , ZHOUMu-ke , GUOJian , PENGChao ,  HELi

Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

HELi, Email: heli2003new@126.com

Keywords：

cranial venous sinus thrombosis; Clinical manifestation; MRI; MR venography; Digital subtraction angiography

DOI：

10.7507/1002-0179.20140069

Video：

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Objective To explore the features of images by CT,MRI,and MRV for early cranial venous sinus thrombosis (CVST) to provide the diagnostic evidence for choosing an optimal imaging examination. Methods The clinical data (imaging features of CT,MRI,and MRV) of 46 patients with CVST diagnosed between January 2009 and January 2013 were retrospectively analyzed. Results Brain CT showed the direct signs of CVST in 15 cases (32.6%),and indirect signs of CVST in 8(17.4%).MRI showed the signs of CVST in 17 cases (68.0%);the diagnostic positive rate of MR venography (MRV) combined with MRI was 87.5%,84.6% of which was in line with that of digital subtraction angiography. Conclusion CT can be used as screening tool for those highly suspect CVST cases.MRI combined with MRV show great diagnostic value for CVST.

Citation： WANGBin, ZHOUMu-ke, GUOJian, PENGChao, HELi. Characteristics of Images for Early Cerebral Venous Sinus Thrombosis. West China Medical Journal, 2014, 29(2): 223-225. doi: 10.7507/1002-0179.20140069 Copy

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1. Bousser MG,Ferro JM.Cerebral venous thrombosis:an update[J].Lancet Neurol,2007,6(2):162-170.
2. Stam J.Thrombosis of the cerebral veins and sinuses[J].N Engl J Med,2005,352(17):1791-1798.
3. Einhäupl K,Bousser MG,de Bruijn SF,et al.EFNS guideline on the treatment of cerebral venous and sinus thrombosis[J].Eur J Neurol,2006,13(6):553-559.
4. Linn J,Ertl-Wagner B,Seelos KC,et al.Diagnostic value of multidetector-row CT angiography in the evaluation of thrombosis of the cerebral venous sinuses[J].AJNR Am J Neuroradiol,2007,28(5):946-952.
5. 许凡勇,陈君蓉,肖家和,等.颅内静脉窦血栓形成的CT、MRI诊断[J].实用放射学杂志,2009,25(11):1555-1557.
6. 张洪胜,于萍萍.脑静脉窦和静脉血栓形成的影像学诊断与分析[J].国际放射医学核医学杂志,2009,33(6):368-371.
7. Damak M,Crassard I,Wolff V,et al.Isolated lateral sinus thrombosis:a series of 62 patients[J].Stroke,2009,40(2):476-481.
8. Sagduyu A,Sirin H,Mulayim S,et al.Cerebral cortical and deep venous thrombosis without sinus thrombosis:clinical MRI correlates[J].Acta Neurol Scand,2006,114(4):254-260.
9. Renowden S.Cerebral venous sinus thrombosis[J].Eur Radiol,2004,14(2):215-226.
10. Connor SE,Jarosz JM.Magnetic resonance imaging of cerebral venous sinus thrombosis[J].Clin Radiol,2002,57(6):449-461.
11. Mullins ME,Grant PE,Wang B,et al.Parenchymal abnormalities associated with cerebral venous sinus thrombosis:assessment with diffusion-weighted Mr imaging[J].AJNR Am J Neuroradiol,2004,25(10):1666-1675.
12. Sajjad Z.MRI and MRV in cerebral venous thrombosis[J].J Pak Med Assoc,2006,56(11):523-526.
13. Janghorbani M,Zare M,Saadatnia M,et al.Cerebral vein and dural sinus thrombosis in adults in Isfahan,Iran:frequency and seasonal variation[J].Acta Neurol Scand,2008,117(2):117-121.

West China Medical Journal

Characteristics of Images for Early Cerebral Venous Sinus Thrombosis

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