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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Cerebral Venous Sinus Thrombosis Score and its Correlation with Clinical and MRI Findings
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Cerebral Venous Sinus Thrombosis Score and its Correlation with Clinical and MRI Findings

机译：脑静脉窦血栓形成评分及其与临床和MRI调查结果的相关性

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Background: It is plausible that extent of cerebral venous sinus thrombosis (CVST) may determine clinical severity, magnetic resonance imaging (MRI) lesion, and outcome, therefore this study was undertaken. Methods: A total of 160 CVST patients were included and their clinical details, risk factors, Glasgow Coma Scale score, and parenchymal lesion on MRI were noted. The extent of venous sinus thrombosis on magnetic resonance venography was assessed by using CVST score which was computed giving 1 point for each thrombosed sinus and 3 points to superior sagittal sinus (SSS). Death and outcome at 6 months were assessed using modified Rankin Scale (mRS) as good (<= 2) and poor (mRS 3-5). Results: Their median age was 29.5 years, and 76 (47%) were females. The median CVST score was 3 (range 1-9). CVST score did not correlate with clinical severity and risk factors. Insignificantly higher proportion of patients had parenchymal lesion with a CVST score of more than 2 (76.5% versus 64.2%). Superficial venous system thrombosis, however, correlated with seizure, papilloedema, and frontal lobe lesion. Frontal, temporal lesion correlated with SSS thrombosis, frontal and temporal with transverse sinus, temporal and cerebellar involvement in sigmoid, and basal ganglia and thalamus in straight sinus thrombosis. Seventeen patients (11%) died, and at 6 months, 132 (82%) had good and 11 (7%) poor recovery. Death and 6 months outcomes were not related to CVST score. Conclusions: Extent of CVST does not determine clinical severity, MRI lesion, and outcome. The location of parenchymal lesion however is related to thrombosis of draining sinus.
机译：背景：脑静脉窦血栓形成（CVST）的程度可以确定临床严重程度，磁共振成像（MRI）病变和结果是合理的，因此本研究进行了。方法：还有160例CVST患者及其临床细节，危险因素，Glasgow Coma规模得分和MRI的实质病变。通过使用CVST分数评估磁共振静脉造影的静脉窦血栓形成的程度，所述CVST分数被计算为每个血栓鼻窦的1点，3点到优质矢状窦（SSS）。使用改进的Rankin规模（MRS）评估6个月的死亡和结果，如良好（<= 2）和穷人（3-5夫人）。结果：他们的中位数年龄为29.5岁，76名（47％）是女性。中位数CVST得分为3（1-9）。 CVST得分与临床严重程度和风险因素没有相关。较高比例的患者具有实质性病变，CVST得分超过2（76.5％，而64.2％）。然而，浅表静脉系统血栓形成与癫痫发作，乳头肿瘤和额叶病变相关。正面，时间病变与SSS血栓形成，正面和时间横向窦，颞骨和小脑参与乙状腺素，以及基底神经节和直窦血栓形成。 17名患者（11％）死亡，6个月，132名（82％）良好，11（7％）恢复不良。死亡和6个月的结果与CVST得分无关。结论：CVST的程度不确定临床严重程度，MRI病变和结果。然而，实质病变的位置与排放窦的血栓形成有关。

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