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[Cerebral venous thromboses. Clinical diagnosis]
1Service de Neurologie, Hôpital de la Pitié Salpêtrière, Paris.
Annales De Radiologie
|January 1, 1994
Summary
Cerebral vein thromboses, often affecting young individuals, present with varied symptoms and can be diagnosed using MRI and angiography. Heparin therapy is now proven beneficial for these serious conditions.
Area of Science:
- Neurology
- Vascular Medicine
- Radiology
Background:
- Cerebral vein thromboses are a significant cause of cerebral venous disease.
- They affect all ages, predominantly young individuals, with varied etiologies, and are often idiopathic.
- Commonly involve superior sagittal and transverse sinuses, less frequently deep or posterior fossa veins.
Purpose of the Study:
- To summarize the current understanding of cerebral vein thromboses.
- To highlight diagnostic modalities and treatment efficacy.
Main Methods:
- Review of literature on cerebral vein thromboses.
- Emphasis on radiological diagnostic tools like MRI and angiography.
- Discussion of clinical presentation and outcomes.
Main Results:
- Symptoms include intracranial hypertension (ICH), focal neurological deficits, and seizures.
- Diagnosis relies heavily on advanced imaging techniques.
- A 10% mortality rate is noted in non-infectious cases.
- Heparin therapy's efficacy is now well-established.
Conclusions:
- Cerebral vein thromboses require prompt diagnosis via imaging.
- Early heparin treatment is crucial for improving outcomes.
- Understanding the varied presentation is key for differential diagnosis.