Clinical And Imaging Features Of 156 Patients With Intracranial Venous Sinus Thrombosis

Object In 156 cases of intracranial venous sinus thrombosis in patients with clinical data and imaging characteristics were discussed.Analysis of all the groups of patients with clinical features and related risk factors of secondary brain injury patients may exist(such as gender,age,average hospitalization time,onset time,known etiology,clinical manifestations of different laboratory the inspection results of thrombosis,venous sinus area,the number and short-term prognosis etc.)were compared.In order to improve the recognition of this disease.Methods A retrospective analysis of 156 cases diagnosed as clinical data of CVST patients,and cording to the brain CT or MRI imaging results,divided into brain parenchymal lesions positive group(82 cases)and negative group(74 cases),comparative analysis of the general situation of the two groups of patients,etiology,clinical manifestations,imaging examination,differential involvement venous sinus and short-term prognosis.Results Comparison of two groups of patients with single factor in the etiology,pregnancy in the etiology of cerebral venous thrombosis is the main infection,blood diseases and metabolic,autoimmune diseases etc.Positive group of blood system diseases(including anemia,thrombocytosis or reduced,leukemia,MDS)patients are mostly negative patients secondary to postoperative patients with local infection and dehydration are;the clinical manifestation of psychiatric symptoms,positive group epilepsy,disturbance of consciousness,nerve the function defect(including unilateral dyskinesia,central surface tongue paralysis,language dysfunction),check the pathological signs positive ratios were higher than the negative group,the differences were statistically significant(P < 0.05);according to statistics,the ratio in superior sagittal sinus thrombosis group was lower than that of negative group(P= 2=4.480.0.034);DSA examination can discover the etiology of MRV is not clear,such as arteriovenous malformation,congenital venous sinus dysplasia;discharge positive group showed complete recovery(modified Rankin score 0 to 2 points)the ratio is lower than that of Yin Sex group(2=19.765,P = 0);multivariate logistic regression analysis showed that patients with CVST brain injury were more conscious,more involved in the superior sagittal sinus,and short term prognosis.Conclusion 1?The main causes of intracranial venous thrombosis are infection,pregnancy,blood system diseases and metabolism,autoimmune diseases,etc.,and patients with hematological diseases are more likely to involve brain parenchyma injuries.2?DSA examination found MRV examination of cerebral vascular malformation and not clear sinus hypoplasia and other potential causes of this disease,etiology diagnostic significance is significant,but also understand the degree of luminal occlusion and collateral circulation,clinical conditions should be positive for DSA examination.