Objective: To review the early diagnosis and treatment of intracranial venous sinus thrombosis information.rnMethods: Twelves patients, diagnosed as cerebral venous sinus thrombosis in our hospital from March 2005 to December rn2009,were collected and analyzed retrospectively. Results: 83.3％ of patients with headache as the initial presentation, folrnlowed by disturbance of consciousness and seizures; all patients had elevated cerebrospinal fluid pressure. Head CT, the rnpositive rate low, head MRI + MRV combined, can significantly increase the positive rate of CVST, for anticoagulation after rndiagnosis, dehydration, and symptomatic intracranial pressure lowering treatment, cure, 8 cases improved in 3 cases, 1 died.rnConclusion: The patients with the first sustained and severe headaches, and accompanied by disturbance of consciousness,rnepilepsy should be suspected CVST. Head MRI + MRV examination is the best way to diagnose of CVST; early diagnosis rnand early treatment can improve the prognosis.%目的:分析颅内静脉窦血栓形成的临床资料,总结其早期诊断及治疗方法.方法:收集2005年3月～2009年12月我科收治的12例确诊为颅内静脉窦血栓形成患者的临床资料,并进行回顾性分析.结果:83.3%的患者以头痛为首发表现,其次为意识障碍和癫痫发作,所有患者均有脑脊液压力升高.头颅CT检查的阳性率较低.头颅MRI+MRV联合应用,可显著提高CVST的阳性率,确诊后予抗凝、脱水降颅压及对症治疗,治愈8例,好转3例,死亡1例.结论:对首先持续而严重的头痛,且伴有意识障碍、癫痫的患者,应高度怀疑CVST,头颅MRI+MRV检查是诊断CVST的最佳办法,早期诊断、早期治疗可以改善患者的预后.
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