颅内静脉系统血栓形成首次影像诊断的漏诊及误诊分析

庄乃君; 翟晓东; 万红燕; 付登礼; 章丽丽

颅内静脉系统血栓形成首次影像诊断的漏诊及误诊分析

1. 南京医科大学附属无锡市人民医院医学影像科
2. 昆明医科大学第二附属医院神经外科

基金项目:

基金：江苏省无锡市科教强卫重点人才基金资助项目 (ZDRCO31);

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出版历程
- 收稿日期: 2017-09-21

The Analysis of Missed Diagnosis and Misdiagnosis in the First Imaging Diagnosis of Cerebral Venous Thrombosis

Funds:

基金：江苏省无锡市科教强卫重点人才基金资助项目 (ZDRCO31);

摘要

摘要: 目的提高颅内静脉系统血栓形成首次影像诊断率, 以指导治疗, 改善预后.方法回顾性分析17例颅内静脉血栓形成的病例, 结合CT及MRI、CE-MRV影像学表现, 总结漏诊或误诊的原因.结果 17例颅内静脉血栓形成的病例, 首次影像学检查均采用CT平扫, 漏诊或误诊病例有7例, 2例初诊为蛛网膜下腔出血, 1例初诊为左枕部亚急性硬膜下血肿, 1例初诊为右额顶枕叶脑出血, 1例初诊为左颞枕叶脑出血破入脑室, 2例初诊为颅脑CT未见明显异常.结论总结CT首次检查对颅内静脉血栓形成漏诊及误诊的原因, 有助于提高颅内静脉系统血栓形成首次影像诊断率.
- 颅内静脉系统血栓形成 /
- CT /
- 磁共振成像
Abstract: Objective To improve the detection accuracy of cerebral venous thrombosis (CVT) in the first imaging examination and to guide the treatment and improve the outcome. Methods Imagings of 17 CVT cases were retrospectively analyzed and the missed diagnosis and misdiagnosis reasons were summarized. Results All the 17 cases were taken CT examination. 7 cases were missed diagnosed and misdiagnosed. 2 of 7 cases were diagnosed as subarachnoid hemorrhage. 1 of 7 cases was diagnosed as the left occipital subacute subdural hematoma. 1 of 7 cases was diagnosed as the right frontal and parietal and occipital lobes cerebral hemorrhage. 1 of 7 cases was diagnosed as the left parietal and occipital lobes cerebral hemorrhage and broken into ventricles. 2 of 7 cases were diagnosed as negative. Conclusion To summerize the reasons of missed diagnosis and misdiag aosis of CVT can improve the detection accuracy in the first imaging examination.
- Cerebral venous thrombosis /
- Computer tomography /
- Magnetic resonance imaging

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参考文献(16)

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