脑静脉窦血栓形成临床误诊文献分析

IF 1.3 Q4 CLINICAL NEUROLOGY
Yucai Guo , Desislava Doycheva
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引用次数: 0

摘要

颅内静脉窦血栓形成(脑静脉窦血栓,CVST)的临床表现和体征往往不典型,且疾病形式多变。随着诊断技术和临床认识的提高,该病的检出率呈上升趋势,但误诊率仍处于较高水平。我们的综述文章的目的是阐明CVST,以帮助减少临床医生对该疾病的误诊。方法从2016年到2020年,共有18篇被误诊的CVST文献发表在中国医学杂志上。结果误诊范围涉及22种疾病。误诊最多的三种疾病是脑出血、脑梗死和脑炎。误诊的主要原因是对疾病缺乏了解,对CVST的影像学表现缺乏了解,缺乏具体的症状和体征,以及满足常见疾病诊断的错误诊断思维方法。共有51例误诊病例描述了误诊与疾病结果的关系,其中46例(90.20%)没有因误诊而造成不良后果。结论临床医生提高对CVST的认识至关重要,头痛、颅内压升高和局灶性神经功能缺损的患者可能患有CVST,应立即送去进行颅骨磁共振成像、磁共振静脉造影或数字减影血管造影术。应检查和加强鉴别诊断,以减少误诊的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of clinical misdiagnosis literature on cerebral venous sinus thrombosis

Intracranial venous sinus thrombosis (cerebral venous sinus thrombosis, CVST) clinical manifestations and signs are often atypical, and the form of the disease is variable. With the improvement of diagnostic technology and clinical understanding, the detection rate of this disease is on the rise, but the misdiagnosis rate is still at a high level. The goal of our review article is to shed light on CVST to help reduce clinician’s misdiagnosis of the disease.

Methods

A total of 18 misdiagnosed CVST documents were published in Chinese medical journals from 2016 to 2020.

Results

The scope of misdiagnosis involves 22 diseases. The top three misdiagnosed diseases are cerebral hemorrhage, cerebral infarction, and encephalitis. The main reasons for misdiagnosis are the lack of understanding of the disease, the lack of understanding of the imaging manifestations of CVST, the lack of specific symptoms and signs, and the wrong diagnostic thinking methods to meet the diagnosis of common diseases. A total of 51 misdiagnosed cases described the relationship between misdiagnosis and disease outcome, of which 46 cases (90.20%) did not cause adverse consequences due to misdiagnosis.

Conclusion

It is crucial for clinicians to improve their understanding of CVST, and patients that present with headache, increased intracranial pressure, and focal neurological deficits could potentially have CVST and should be promptly sent to get cranial magnetic resonance imaging and magnetic resonance venography or digital subtraction angiography. The differential diagnosis should be checked and strengthened in order to reduce the occurrence of misdiagnosis.

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来源期刊
Brain Hemorrhages
Brain Hemorrhages Medicine-Surgery
CiteScore
2.90
自引率
0.00%
发文量
52
审稿时长
22 days
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