大脑静脉鼻血栓的流行病学:2021-2023年
Avi Ruderman1, Andrew Hogan1, Chad Epley1
1Emergency Medicine, University of Texas Southwestern Medical Center, Dallas, USA.
Cureus
|November 3, 2025
概括
大脑静脉鼻血栓 (CVST) 在急诊室 (ED) 很少见,通常影响老年人. 头痛是一种常见的症状,患者经常出现头部受伤或恶性瘤.
科学领域:
- 神经学 神经学
- 紧急医疗 紧急医疗
- 放射学 放射学是一门学科.
背景情况:
- 大脑静脉鼻血栓 (CVST) 是一种罕见但严重的疾病,具有不同的临床表现.
- 由于症状变化和依赖磁共振静脉图像等先进成像技术,存在诊断方面的挑战.
- 有限的研究专注于CVST,特别是在急诊室 (ED) 设置中.
研究的目的:
- 描述ED中成年CVST患者的发病率,人口统计,临床特征,治疗方法和结果.
- 在被诊断为CVST的ED患者中识别表现模式和同时存在的疾病.
- 为提供关于CVST的ED遭遇率的见解.
主要方法:
- 这是一项利用Cosmos电子健康记录数据库 (Epic Systems Corporation) 的横截面研究.
- 分析了2021年至2023年间被诊断患有CVST的成年患者的非识别数据.
- 包括关于ED遭遇率,人口统计,临床投诉,药物和结果的数据.
主要成果:
- 在研究的ED人群中,CVST被发现是罕见的.
- 年龄分布表明,老年人患病率高于以前认为的.
- 头痛是最常见的首要投诉;与头部损伤和恶性瘤的同时呈现是常见的.
- 大多数患者接受了神经成像和抗凝治疗.
结论:
- 在急诊室访问中,CVST是一个不常见的诊断.
- 研究结果表明,CVST在老年人群中可能比以前理解的更为普遍.
- 需要进一步的前性研究来完善对基于ED的CVST病例的风险因素,诊断策略和管理协议的理解.
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