脑静脉窦血栓形成低场磁共振诊断价值.doc

脑静脉窦血栓形成低场磁共振诊断价值【摘要】目的:评价低场MRI脑静脉窦血栓形成的诊断价值。方法:回顾性分析7例脑静脉窦血栓形成的临床与MRI资料。结果:常规MRI检查表现为静脉窦流空信号消失,急性期T?1?WI高信号,T?2?WI低信号;亚急性期T??1?WI、T?2?WI均呈高信号;慢性期T?1?WI、T?2?WI信号减低。MRV检查表现为受累静脉窦血流信号减弱或消失。4例同时行CT和MRI检查的患者11个静脉窦受累,CT检出率为54%,MRI检出率为100%。结论:低场磁共振对静脉窦血栓形成具有高度敏感性,是静脉窦血栓形成的首选检查方法。? 【关键词】静脉窦血栓;脑静脉闭塞;磁共振血管成像? doi:10.3969/j.issn.1006-1959.2010.08.001文章编号:1006-1959(2010)-08-1975-02? The diagnostie value of Low field MRI in Cerebral venous sinus thrombosisZHANG Jian-KeChangyuanxian people’s hospital Henan.province,Henan 453400? 【Abstract】Objective:To assess the value of low field MRI in the diagnosis of cerebal venous sinus thrombosis.Methods:7 cases of CVST patients with clinical and MR date were retrospectively analyzed.Results:Normal flow empty effeot elisappeared on conventional MRI scans acute phase showed maderate signal on T??1?WI and low signal on T??2?WI;Subacute phase trpically elemon strated high signal on T??1?W1 and T??2?WI;Signal intensity gradually became lower in chronoc phase,presentig variably;The signal of the involed venous sinus disappeared or meakened on MRV.The positivt rate of MRI(100%) was higher than of CT(54%)in the 4 patients who were scanned by both CT and MRI.Conclusion:Low field MRI canbe viewed as the primary methods for examining cerebyal lenous sirus thrombosis because of thrombosis because of the secsitiving.? 【Key words】Venous sinus thrombosis;Cerebral venous occlusion;Magnetic resonance angiography 脑静脉窦血栓(CVST)是脑血管的一种特殊类型,是引起脑脊液回流障碍的主要原因。由于本病发病率低,临床表现缺乏特异性,易造成漏诊、误诊,随着MRI技术的不断成熟,低场MRI设备在基层医院得以广泛应用,为CVST形成的诊断提供了一种无创伤,经济且简单的方法。本文回顾性分析了7例CVST形成患者的MRI资料,旨在探讨低场MRI与MRV对CVST形成的诊断价值。? 1.材料和方法? 本组7例患者中,男2例,女5例,平均年龄32岁,病程1-30天。5例女性患者中,1例发生于产后当天,2例发生于产后7天,1例发生于产后25天。临床表现主要头痛的为5例,伴癫痫病发作的及视力模糊的各3例,嗜睡4例。7例CVST患者,全部行MRI扫描,其中MRI+MRV5例,MRI增强4例,同时行CT和MRI检查的4例。? 采用鑫高益OPER0.35T磁共振扫描仪,头部线圈,常规扫描采用SE序列:T??1?WI、T??2?WI及FLAIR。层厚5mm,层间距1.5mm。行轴位、矢状位及冠状位扫描。4例患者行增强扫描,对比剂为GD-DTPA,剂量为0.1mmOL/kg体重,先行T??1?W1横断面动态增强扫描,然后辅以冠状面、矢状面扫描,MRV检查采用2D-TOF法。?