Clinical diagnosis,treatment and outcome of cerebral vein thrombosis:analysis of 11 cases
10.3760/cma.j.issn.1671-8925.2009.09.016
- VernacularTitle:11例颅内静脉血栓形成的临床诊断及治疗转归分析
- Author:
Juan BAO
1
;
Xiao-Shu YANG
;
Xiao-Yan LONG
;
Jian XIA
;
Huan YANG
;
Jing LI
;
Qi-Dong YANG
Author Information
1. 昆明医学院附属第三医院
- Keywords:
Cerebral vein thrombosis;
Differential diagnosis;
Treatment
- From:
Chinese Journal of Neuromedicine
2009;8(9):923-925
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical manifestations,radiographic characteristics and treatment of cerebral vein thrombosis.Methods The clinical manifestations,results of laboratory examinations,characteristic radiographic findings,treatment protocols and outcomes were analyzed retrospectively in 11 patients with cerebral vein thrombosis admitted between 2002 and 2007.Results In 10 of the patients,nonspecifie headache was the most frequent symptoms,followed by vomiting,hemiplegia,meningeal irritation and hyperspasmia.Two patients received treatments for suspected cerebral hemorrhage and subarachnoid hemorrhage before a definite diagnosis was established.All thel 1 patients received CT and/or magnetic resonance imaging(MR/)examinations,and 8 also underwent magnetic resonance venography(MRV)and 1 underwent digital subtraction angiography(DSA),and a definite diagnosis of cerebral vein thrombosis was established in 10 eases.Treatment to control the intracmnial pressure was administered in all the patients,among whom 10 were given anti-coagulation or anti-platelet treatments.Nine patients showed improvements after the treatments;1 had deteriorated condition and 1 died.Conclusion In the absence of specific clinical manifestations,cerebral vein thrombosis gives rise to high rate of misdiagnosis,and a definite diagnosis relies on the findings by radiographic modalities.Early anti-coagulation treatment may prove safe and effective in these cases.
