成人脑静脉和脑窦血栓形成:一种实用的方法

C. Karam
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引用次数: 1

摘要

脑静脉和窦血栓形成(CVST)是相对罕见的,经常被误诊。某些人群,如儿童、孕妇或OCT患者的风险更高。随着CT静脉造影和MRV技术的进步,其诊断变得更加容易。几乎总是有一个潜在的高凝状态,应该调查。使用抗凝剂是治疗的首选。在选定的情况下使用AED。预后通常良好,除非患者出现精神状态改变或出血。在本文中,我们回顾了一些文献,这些文献对CVST的诊断和治疗有实际的实用知识。
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Cerebral venous and sinus thrombosis in adults: A Practical Approach
Thrombosis of the cerebral veins and sinuses (CVST) is relatively uncommon and often misdiagnosed. Certain populations such as children, pregnant woman or woman on OCT are at a higher risk. Its diagnosis has been made easier with the advance in CT venography and MRV. There is almost always an underlying hypercoagulable state that should be investigated. The use of anticoagulation is the treatment of choice. AED is used in selected cases. The prognosis is usually good unless the patient present with altered mental status or hemorrhage. In this paper we reviewed selected literature that has contributed to the actual practical knowledge on the diagnosis and treatment of CVST.
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