[Clinical features and diagnosis of cerebral venous thrombosis].
OBJECTIVE
To investigate the clinical features and imaging diagnosis of cerebral venous thrombosis.


METHODS
65 cases of cerebral venous thrombosis (CVT) were proved by angiography (n = 34) or MR (n = 44), 30 by both procedures and 6 by pathology as well. Their age ranged from 13 to 59 years (mean age 32.5), 31 were male and 34 were female.


RESULTS
The clinical manifestations were variable, but most patients had symptoms and signs of intracranial hypertension (91%)such as headache and papilledema. Nearly half of the patients had focal neurological dysfunction (49%) such as weakness of limbs and seizures and half of the patients had intracranial hypertension (51%) only. The occluded dural sinus and the clot could be visualised directly by means of magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA).


CONCLUSIONS
MRI and MRA are becoming the imaging investigation of choice for the diagnosis of CVT, Anticoagulation, thrombolysis and dextran may be effective measures in the treatment of cerebral venous thrombosis.
Zhou
W
W
Neurology of Department, Capital University of Medical Sciences Xuanwu Hospital, Beijing, 100053.
Wei
G
G
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D019586:Intracranial Hypertension / Q000175:diagnosis; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012851:Sinus Thrombosis, Intracranial / Q000175:diagnosis*