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首页> 外文期刊>European journal of neurology: the official journal of the European Federation of Neurological Societies >The clinical spectrum of intracerebral hematoma, hemorrhagic infarct, non-hemorrhagic infarct, and non-lesional venous stroke in patients with cerebral sinus-venous thrombosis
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The clinical spectrum of intracerebral hematoma, hemorrhagic infarct, non-hemorrhagic infarct, and non-lesional venous stroke in patients with cerebral sinus-venous thrombosis

机译：脑窦静脉血栓形成患者脑血肿，出血性梗死，非出血性梗死和非病变性静脉中风的临床范围

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Background and purpose: The clinical spectrum of different neuroradiological features of cerebral sinus-venous thrombosis (CSVT) varies considerably. We sought the relationship between different neuroradiological aspects and clinical presentations in these patients. Methods: The diagnosis of cerebral sinus-venous thrombosis has been confirmed by conventional angiography, MRI combined with MR venography following established diagnostic criteria. We analyzed clinical data, symptoms and signs, imaging findings, location and extent of the thrombus, and parenchymal lesions, retrospectively. Results: There were 220 consecutive patients with cerebral sinus-venous thrombosis; 98 (45%) had non-lesional sinus-venous thrombosis (NL CSVT), 51 (23%) had non-hemorrhagic infarct (NHI), 45 (20%) had hemorrhagic infarct (HI), and 26 (12%) had intracerebral hemorrhage (ICH). In patients with hemorrhagic lesion (HI+ICH), advanced age, headache (99%), behavioral disturbances (55%), consciousness disturbances (35%), seizures (41%), and language deficits (42%) were significantly higher than the other patients (NL+NHI) (P<0.001). High blood pressure at admission, puerperium, sigmoid and straight sinus thrombosis, multiple sinus and vein involvement were more frequent in patients with hemorrhagic lesion than those with non-hemorrhagic lesion. Patients with hemorrhagic lesion were more dependent or died (32%) than the other patients (12%) (P<0.001), and most of the patients with NL and NHI had no disability compared with the other patients at the 3month of follow-up (96% and 65%; P<0.001). Conclusion: Headache, convulsion, behavioral disorder, seizures, and speech disorders were the most frequent clinical symptoms of patients with hemorrhagic CSVT. Specific risk factors, including pregnancy/puerberium, early and extended thrombosis of large sinus, and presence of high blood pressure at admission, are associated with hemorrhagic lesion and unfavorable outcome. Click for the corresponding questions to this CME article.
机译：背景与目的：脑窦静脉血栓形成（CSVT）的不同神经影像学特征的临床范围差异很大。我们寻求这些患者不同的神经放射学方面和临床表现之间的关系。方法：按照既定的诊断标准，通过常规血管造影，MRI结合MR静脉造影已确定了脑窦静脉血栓形成的诊断。我们回顾性分析了临床数据，症状和体征，影像学发现，血栓的位置和范围以及实质性病变。结果：连续220例脑窦静脉血栓形成。非病变窦静脉血栓形成（NL CSVT）占98（45％），非出血性梗死（NHI）占51（23％），出血性梗死（HI）占45（20％），26（12％）患有脑出血（ICH）。出血性病变（HI + ICH），高龄，头痛（99％），行为障碍（55％），意识障碍（35％），癫痫发作（41％）和语言障碍（42％）的患者明显更高比其他患者（NL + NHI）高（P <0.001）。出血性病变患者的入院时高血压，产褥期，乙状窦和直窦血栓形成，多发性窦和静脉受累比非出血性病变者更为频繁。出血性病变患者比其他患者（12％）更加依赖或死亡（32％）（P <0.001），并且在随访的第3个月，与其他患者相比，大多数NL和NHI患者没有残疾上升（96％和65％; P <0.001）。结论：头痛，惊厥，行为障碍，癫痫发作和言语障碍是出血性CSVT患者最常见的临床症状。特定的危险因素，包括妊娠/产褥期，大鼻窦的早期和长期血栓形成以及入院时出现高血压，均与出血性病变和不良预后相关。单击以获取与此CME文章相对应的问题。

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