脑深静脉血栓形成两例临床和病理报告

目的：分析脑深静脉血栓形成（DCVT）的临床和病理物点。方法：分析2例患者的临床床及尸检资料，结果：本病临床常表现呼精神障碍。CT、CT血管造影（CTA）、MRI和磁共振血管造影（MRA）等使早期临床诊断成为可能。早期诊断抗凝、溶栓治疗使本病预后趋于良好。DCVT往往累及整个深静脉表现各异，首发症状多为头痛、意识和精神障碍，CT检查显示双侧基底节或丘脑梗死；CTA或MRI（MRA）检查能够辅助临床诊断，早期抗凝和溶栓治疗使预后趋于良好。

Deep cerebral venous thrombosis

Objective To study pathological findings of deep cerebral venous thrombosis (DCVT) in 2 cases. Methods The clinical and autopsy data of the 2 cases were analyzed. Results In clinical,the patients frequently showed altered consciousness,mental changes and pyramidal sign Mental changes are the most common symptoms The early diagnosis of DCVT can be made by CT,CTA,MRI and MRA examination Early diagnosis,anticoagulative and thrombolytic treatments may achieve bettir prognosis Pathologically,the whole deepvein system and its large tributaries were always involved, and sometimes accompanied with a widespread sinus thrombosis A bilateral haemorrhagic infarct was observed in affecting the basal ganglia and thalamus. Conclusions The initial symptoms are frenqently shown as headach,altered consciousness or/and mental changes CT can find the bilateral infarction of the basal ganglia or thalamus The CTA,MRI and/or MRA is very helpful in making an early diagnosis The anticoagulant and thrombolysis treatments are recommendable