脑深静脉系统血栓形成

脑深静脉系统血栓形成(DCVST)是一种少见的脑静脉闭塞性血管病,除累及脑深静脉系统外,常常伴有广泛的静脉窦血栓形成。DCVST患者多存在血栓形成倾向的病因;临床表现复杂多样,缺乏特异性;CT或MRI显示双侧丘脑、基底节对称性梗死,易合并出血;静脉期血管造影发现深静脉系统闭塞可确诊。早期诊断、尽早抗凝和溶栓治疗是减少出血并发症、降低病死率、改善预后的关键。

Deep Cerbral Venous System Thrombosis

Deep cerebral venous system thrombosis (DCVST) is a rare cerebral venous occlusive disease, often accompanied with extensive sinus thrombosis. Most of DCVST patients have the causes of thrombophilia. The clinical manifestation is variable and nonspecific. CT or MRI may show symmetrical infarctions in bilateral thalamus and basal ganglia, and it is often combined with hemorrhage. DCVST can be diagnosed when occlusion of deep venous system is detected by venography. The early diagnosis and treatment with anticoagulation or thrombolytic therapy as early as possible is critical for reducing bleeding complications, mortality, and for improving prognosis.