Zhuang Nai Jun , Di Xiao Dong , Wan Hong Yan , Fu Deng Li , Zhang Li Li . The Analysis of Missed Diagnosis and Misdiagnosis in the First Imaging Diagnosis of Cerebral Venous Thrombosis[J]. Journal of Kunming Medical University, 2018, 39(01): 118-122.
Citation: Zhuang Nai Jun , Di Xiao Dong , Wan Hong Yan , Fu Deng Li , Zhang Li Li . The Analysis of Missed Diagnosis and Misdiagnosis in the First Imaging Diagnosis of Cerebral Venous Thrombosis[J]. Journal of Kunming Medical University, 2018, 39(01): 118-122.

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);

  • Received Date: 2017-09-21
  • 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.
  • loading
  • [1]
    [1]COUTINHO J M, ZUURBIER S M, ARAMIDEH M, et al.The incidence of cerebral venous thrombosis:a cross-sectional study[J].Stroke, 2012, 43 (12) :3375-3377.
    [2]
    [2]JANGHORBANI M, ZARE M, SAADATNIA M, et al.Cerebral vein and dural sinus thrombosis in adults in isfahan, Iran:frequency and seasonal variation[J].Acta Neurol Scand, 2008, 117 (2) :117-121.
    [3]
    [3]DE STEFANO V, MARTINELLI I.Splanchnic vein thrombosis:clinical presentation, risk factors and treatment[J].Intern Emerg Med, 2010, 5 (6) :487-494.
    [4]
    [4]WHITE R H.The epidemiology of venous thromboembolism[J].Circulation, 2003, 107 (Suppl 1) :I4-I8.
    [5]
    [5]FERRO J M, CANHO P, BOUSSER M G, et al.Cerebral vein and dural sinus thrombosis in elderly patients[J].Stroke, 2005, 36 (9) :1927-1932.
    [6]
    [6]BOUSSER M G, FERRO J M.Cerebral venous thrombosis:an update[J].Lancet Neurol, 2007, 6 (2) :162-170.
    [7]
    [7]FERRO J M, CANHO P.Cerebral venous sinus thrombosis:update on diagnosis and management[J].Curr Cardiol Rep, 2014, 16 (9) :523.
    [8]
    [8]DEHERDT V, DUMONT F, HNON H, et al.Early seizures in intracerebral hemorrhage:incidence, associated factors, and outcome[J].Neurology, 2011, 77 (20) :1794-1800.
    [9]
    [9]GOSSNER J, LARSEN J, KNAUTH M.Bilateral thalamic infarction-a rare manifestation of dural sinus thrombosis[J].Clin Imaging, 2010, 34 (9) :134-137.
    [10]
    [10]WASAY M, BAKSHI R, BOBUSTUC G, et al.Cerebral venous thrombosis:analysis of a multicenter cohort from the United States[J].Stroke Cerebrovasc Dis, 2008, 17 (2) :49-54.
    [11]
    [11]GEUKENS P, DUPREZ T, HANTSON P.Bilateral thalamic infarction[J].West J Emerg Med, 2012, 13 (6) :491.
    [12]
    [12]BEN-DOV M, INBAR E, STEINER I.Cerebral straight sinus thrombosis:an unusual cause of confusion[J].JAMA Neurol, 2015, 72 (12) :1527.
    [13]
    [13]SZTAJZEL R, COEYTAUX A, DEHDASHATI A R, et al.Subarachnoid hemorrhage:a rare presentation of cerebral venous thrombosis[J].Headache, 2001, 41 (9) :899-901.
    [14]
    [14]KATO Y, TAKEDA H, FURUYA D, et al.Subarachnoid hemorrhage as the initial presentation of cerebral venous thrombosis[J].Intern Med, 2010, 49 (5) :467-470.
    [15]
    [15]STRACKE C, SPUENTRUP E, KATOH M, et al.New experimental model of sinus and cortical vein thrombosis in pigs for MR imaging studies[J].Neuroradiology, 2006, 48 (10) :721-729.
    [16] 中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组[J].中华神经科杂志, 2015, 10 (48) :819-829.
  • Relative Articles

    [1] Huiqiong HE, Mengmei ZHANG, Ying YAN, Jing Lei, Yaying YANG, Kaipeng XIE. Diagnostic Value of MSCT Combined With MRI in T Staging of Gastric Cancer. Journal of Kunming Medical University, 2023, 44(2): 133-138.  doi: 10.12259/j.issn.2095-610X.S20230227
    [2] Sijia LIU, Yaying YANG, Chao PENG, Yamin LI. Application of Contrast-enhanced CT and MRI in Preoperative TNM Staging of Pancreatic Cancer. Journal of Kunming Medical University, 2023, 44(6): 107-112.  doi: 10.12259/j.issn.2095-610X.S20230628
    [3] Hong ZHAO, Shanshan WAN, Zaiqiang LIU, Yongming JIN, Ling YU, Shiping WANG. Imaging Features of Sporadic Brucella Spondylitis in Yunnan Province. Journal of Kunming Medical University, 2022, 43(10): 98-103.  doi: 10.12259/j.issn.2095-610X.S20221027
    [4] Haifeng MA, Kuiming JIANG. Value of 3.0T Magnetic Resonance Cholangiopancreatography in Diagnosing Pancreaticobiliary Maljunction in Children. Journal of Kunming Medical University, 2022, 43(10): 110-114.  doi: 10.12259/j.issn.2095-610X.S20221014
    [5] Ge WANG, Ling-jun SHEN, Guo-hui LI, Yan YANG, Ji-kun ZHENG, Li-juan YUAN. The Application Value of CT Pulmonary Blood Flow Distribution in the Diagnosis of Pulmonary Embolism. Journal of Kunming Medical University, 2021, 42(1): 135-141.  doi: 10.12259/j.issn.2095-610X.S20210128
    [6] Cai Li , Duan Chu Wei , Zhu Yun Zhen , Zhao Wei , He Bo , Zhang Zhen Guang . Application of Multiple MR Sequences in Detection of Small Bowel Diseases. Journal of Kunming Medical University, 2017, 38(10): 74-78.
    [7] Huang Zhen Hua , Shi Xin , Wang Hui Tao , Zhang Jing Song , Wang Guang , Hao Jin Gang , Liu Jian He . Application Value of DWI in Diagnosis of T Staging of Bladder Cancer. Journal of Kunming Medical University, 2016, 37(12): 67-71.
    [8] Liu De Hong , Shao Ju Wei , Xiang Shu Tian , Liu Chen , Wang Peng , Li Ying Wen . Comparison of BRAVO Sequence and TRICKS Sequence on Cerebral Venous Sinus Thrombosis. Journal of Kunming Medical University, 2016, 37(11): 121-125.
    [9] Feng Jun . . Journal of Kunming Medical University,
    [10] Yang Shao Hua . . Journal of Kunming Medical University,
    [11] Wang Peng . . Journal of Kunming Medical University,
    [12] Zhang Wei . . Journal of Kunming Medical University,
    [13] Jiang Chao Wu . . Journal of Kunming Medical University,
    [14] Luo Cheng Long . . Journal of Kunming Medical University,
    [15] Sun Li Hui . . Journal of Kunming Medical University,
    [16] Zhang He Ming . . Journal of Kunming Medical University,
    [17] Xie Xiao 晞. . Journal of Kunming Medical University,
    [18] . Differential Diagnosis of Thrombus in Portal Vein System from Cancer Embolus by CT. Journal of Kunming Medical University,
    [19] Wang Zhen . . Journal of Kunming Medical University,
    [20] Tan Jun . . Journal of Kunming Medical University,
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (2175) PDF downloads(52) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return