颅内静脉窦血栓形成课件.ppt

颅内静脉窦血栓形成CommomPitfallsIsolatedHeadache/IdiopathicIntracranialHypertension颅内静脉窦血栓形成DiagnosisandManagementofCerebralVenusThrombosis颅内静脉窦血栓形成CerebralVenusThrombosisBackground1Purpose2Anatomy3Diagnosisandmanagement5Riskfactors4Treatmentoptions6颅内静脉窦血栓形成BackgroundCVTrepresents0.5%-1%ofallstrokeCVTusuallyaffectingyoungindividualsDiversityofcausesandpresentingscenarios颅内静脉窦血栓形成PurpousToprovideanovereviewofcerebralvenoussinusthrombosisToproviderecommendationforitsdiagnosismanagementtreatment颅内静脉窦血栓形成Anatomay脑静脉吻合支较动脉丰富得多颅内静脉窦血栓形成Anatomaythesuperiorsagittalsinus(green),inferiorsagittalsinus(lightblue),straightsinus(darkpurple),confluenceofthesinuses(orange),transversesinuses(darkblue),sigmoidsinuses(yellow).frontopolarveins[1],anteriorfrontalveins[2],posteriorfrontalveins[3]anteriorparietalveins[5]Trolardvein[4];superficialmiddlecerebralvein][6],theLabbe′vein[7].颅内静脉窦血栓形成CerebralVenousSinusesA.上矢状窦B.Galen静脉C.眼静脉D.面静脉E.海绵窦F.下岩窦G.颈静脉H.乙状窦I.上岩窦J.橫窦K.直窦L.下矢状窦颅内静脉窦血栓形成CerebralVenousSinuses颅内静脉窦血栓形成FactorsPriormedicalcondition:thrombophiliasIBSTransientsituation:pregnancy、infectiondehydrationSelectedmedications：substanseabuse、oralcontraceptivesUnpredictableevents:headtrauma颅内静脉窦血栓形成颅内静脉窦血栓形成颅内静脉窦血栓形成ClinicalfeaturesSeizures40%Bilateralbraininvolvement,deepvenusdrainagesystemeg:bilateralthalamicinvolvementSlowlyprogressivesymptoms颅内静脉窦血栓形成superiorsagittalsinusthrombosis，SSSTΔ颅内静脉窦血栓形成SSST颅内静脉窦血栓形成SSST颅内静脉窦血栓形成transverseandsigmoidsinusthrombosisCaption:A23-year-oldfemalewithheadache.CTscandemonstratesasubtlerighttransversesinusthrombosiswithhighattenuation(arrows).MRvenographydemonstratesabsentflowintherighttransversesinus,sigmoidsinus,andinternaljugularvein.颅内静脉窦血栓形成(transverseandsigmo