颅内静脉窦血栓形成课件.pptVIP

DiagnosisandManagementofCerebralVenusThrombosisAstatementforHealthcareProfessionalsFromTheAmericaStrokeAssociation刘娟丽颅内静脉窦血栓形成

CerebralVenusThrombosisBackground1Purpose2Anatomy3Diagnosisandmanagement5Riskfactors4Treatmentoptions6颅内静脉窦血栓形成

BackgroundCVTrepresents0.5%-1%ofallstrokeCVTusuallyaffectingyoungindividualsDiversityofcausesandpresentingscenarios颅内静脉窦血栓形成

PurpousToprovideanovereviewofcerebralvenoussinusthrombosisToproviderecommendationforitsdiagnosismanagementtreatment颅内静脉窦血栓形成

Anatomay脑静脉吻合支较动脉丰富得多颅内静脉窦血栓形成

Anatomaythesuperiorsagittalsinus(green),inferiorsagittalsinus(lightblue),straightsinus(darkpurple),confluenceofthesinuses(orange),transversesinuses(darkblue),sigmoidsinuses(yellow).frontopolarveins[1],anteriorfrontalveins[2],posteriorfrontalveins[3]anteriorparietalveins[5]Trolardvein[4];superficialmiddlecerebralvein][6],theLabbe′vein[7].颅内静脉窦血栓形成

CerebralVenousSinusesA.上矢状窦B.Galen静脉C.眼静脉D.面静脉E.海绵窦F.下岩窦G.颈静脉H.乙状窦I.上岩窦J.橫窦K.直窦L.下矢状窦颅内静脉窦血栓形成

CerebralVenousSinuses颅内静脉窦血栓形成

FactorsPriormedicalcondition:thrombophiliasIBSTransientsituation:pregnancy、infectiondehydrationSelectedmedications：substanseabuse、oralcontraceptivesUnpredictableevents:headtrauma颅内静脉窦血栓形成

颅内静脉窦血栓形成

颅内静脉窦血栓形成

ClinicalfeaturesSeizures40%Bilateralbraininvolvement,deepvenusdrainagesystemeg:bilateralthalamicinvolvementSlowlyprogressivesymptoms颅内静脉窦血栓形成

superiorsagittalsinusthrombosis，SSSTΔ颅内静脉窦血栓形成

SSST颅内静脉窦血栓形成

SSST颅内静脉窦血栓形成

transverseandsigmoidsinusthrombosisCaption:A23-year-oldfemalewithheadache.CTscandemonstratesasubtlerighttransversesinusthrombosiswithhighattenuation(arrows).MRvenographydemonstratesabsentflowintherighttransversesinus,sigmoidsinus,andinternaljugularvein.颅内静脉窦血栓形成

(transverseandsigmoidsinusthrombosis)

A32-year-oldpostpartumpatientwithheadaches.AxialCTima