孤立皮层静脉血栓瘤的临床和血管图像特征
Krishna Amuluru1, Fawaz Al-Mufti2, Daniel H Sahlein1
1Goodman Campbell Brain and Spine Ascension St. Vincent Medical Center Division of Interventional Neuroradiology Indianapolis IN.
Stroke (Hoboken, N.J.)
|January 26, 2026
概括
隔离皮层静脉血栓形成 (ICoVT) 是罕见的,但可以通过先进的成像诊断. 这项研究详细介绍了ICoVT.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 血管成像 血管成像
背景情况:
- 隔离皮层静脉血栓症 (ICoVT) 是一种被诊断不足的脑静脉血栓症形式.
- 对ICoVT的非侵入性成像还不成熟,其数字减去血管造影 (DSA) 模式的记录很差.
- 这项研究呈现了最大的一系列ICoVT病例,证实了非侵入性和血管学发现.
研究的目的:
- 描述ICoVT的临床和成像特征.
- 为了记录孤立皮质静脉血栓的数字减去血管学 (DSA) 模式.
- 提出ICoVT.DSA模式的初步分类.
主要方法:
- 从2013年1月到2019年6月的脑静脉血栓症病例的回顾性审查.
- 在CT静脉扫描或MR静脉扫描上包括疑似ICoVT的患者,通过DSA.确认.
- 分析DSA发现,临床数据,结果和后续成像.
主要成果:
- 确定了21名确诊ICoVT的患者.
- 头痛和焦点神经缺陷是常见的表现 (67%).
- 确定了五种DSA模式,其中皮质静脉中填充缺陷 (52%) 和皮质静脉区域缺失 (90%) 是最常见的.
- 大多数患者 (71%) 患有甲状腺下出血,而47% 患有围膜细胞变化.
- 大多数患者 (76%) 接受了抗凝药,并取得了良好的结果 (84%的患者在没有残疾的情况下出院).
结论:
- 导管血管造影/静脉造影对于诊断ICoVT至关重要,特别是在非侵入性成像是模两可的情况下.
- 这项研究介绍并对ICoVT的血管图案进行了分类.
- ICoVT,尽管有潜在的并发症,如出血,往往是可以治疗的良好的预后.
相关概念视频
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
332
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
332
Venous Thrombosis I: Introduction
439
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
439
Venous Thrombosis III: Interprofessional Care
307
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
307
Venous Thrombosis IV: Nursing Management
234
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
234
COPD: Pathogenesis and Clinical Features
1.8K
Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
1.8K
Esophageal Strictures-II: Clinical Features and Management
605
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
605


