Radiologische Hinweise auf zerebrale Venenthrombose

María Canedo-Antelo; Sandra Baleato-González; Antonio J. Mosqueira; Jéssica Casas-Martínez; Laura Oleaga; Joan C. Vilanova; Antonio Luna-Alcalá; Roberto García-Figueiras

doi:10.1055/a-1056-6025

Neuroradiologie Scan, Table of Contents

Neuroradiologie Scan 2020; 10(03): 217-238
DOI: 10.1055/a-1056-6025

CME-Fortbildung

Radiologische Hinweise auf zerebrale Venenthrombose

Radiologic clues to cerebral venous thrombosis

María Canedo-Antelo

,

Sandra Baleato-González

,

Antonio J. Mosqueira

,

Jéssica Casas-Martínez

,

Laura Oleaga

,

Joan C. Vilanova

,

Antonio Luna-Alcalá

,

Roberto García-Figueiras

Abstract

Die zerebrale Venenthrombose ist potenziell reversibel, sofern sie umgehend und in geeigneter Weise diagnostiziert und behandelt wird. Da die klinischen Manifestationen unspezifisch sind, kommt der bildgebenden Diagnostik dabei eine wichtige Rolle zu. Der Beitrag beschreibt deshalb die verschiedenen Subtypen der zerebralen Venenthrombose mit den für sie typischen bildgebenden Befunden sowie die Eignung der verschiedenen Bildgebungstechniken.

Abstract

Cerebral venous thrombosis (CVT) is uncommon, representing approximately 0,5 % of all cases of cerebrovascular disease worldwide. Many factors, alone or combined, can cause CVT. Although CVT can occur at any age, it most commonly affects neonates and young adults. CVT is difficult to diagnose clinically because patients can present with a wide spectrum of nonspecific manifestations, the most common of which are headache in 89 – 91 %, focal deficits in 52 – 68 %, and seizures in 39 – 44 % of patients. Consequently, imaging is fundamental to its diagnosis. MRI is the most sensitive and specific technique for diagnosis of CVT. The different MRI sequences, with and without the use of contrast material, have variable strengths. Contrast material-enhanced MR venography has the highest accuracy compared with sequences without contrast enhancement.

Schlüsselwörter

Zerebrale Venenthrombose - Anatomie des zerebralen Venensystems - Bildgebung - Fallstricke

Keywords

Cerebral venous thrombosis - anatomy of the cerebral venous system - imaging techniques - pitfalls

Full Text

References

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