脑静脉血栓形成的临床和影像学特征:回顾性研究

Mosaad Almegren
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摘要

脑静脉血栓形成(CVT)是一种罕见的中风类型,可呈现多种症状和体征,使其难以与其他神经系统疾病区分开来。因此,本研究旨在探讨脑静脉血栓患者的临床特点及危险因素。该描述性分析包括在两个中心登记的103名CVT患者,一个在沙特阿拉伯,一个在阿曼。该研究涵盖了从2006年到2020年在这些中心确诊的所有患者。在103例CVT患者中,32%为男性,68%为女性,平均年龄39岁。头痛是最常见的症状,其次是癫痫发作。在大多数患者中观察到可识别的危险因素,口服避孕药和妊娠是最普遍的危险因素。横窦是最常见的受累窦,其次是矢状窦,而22%的患者存在颅内出血。CVT是一种不常见的中风类型,主要影响中年人群,尤其是育龄女性。CVT的临床特点各不相同,以头痛为最常见的临床表现,其诊断需要高度的临床怀疑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical and radiological characteristics of cerebral vein thrombosis: a retrospective study
Cerebral vein thrombosis (CVT) is a rare type of stroke that can present with a wide range of symptoms and signs, making it challenging to differentiate from other neurological conditions. Therefore, this study aimed to evaluate the clinical characteristics and risk factors of cerebral vein thrombosis patients. This descriptive analysis included 103 CVT patients registered in two centers, one in Saudi Arabia and one in Oman. The study covered all patients who presented to these centers from 2006 to 2020 with a confirmed diagnosis. Out of the 103 CVT patients included in the study, 32% were male, and 68% were female, with a mean age of 39 years. Headache was the commonest presenting symptom, followed by seizures. Identifiable risk factors were observed in most patients, with oral contraceptive pills and pregnancy being the most prevalent risk factors. The transverse sinus was the most commonly involved sinus, followed by the sagittal sinus, while intracerebral bleeding was present in 22% of patients. CVT is an uncommon type of stroke that affects individuals in the middle age group, particularly child-bearing age females. The clinical characteristics of CVT vary, with headache being the most prevalent clinical presentation, and its diagnosis requires a high degree of clinical suspicion.
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