脳卒中の外科
Online ISSN : 1880-4683
Print ISSN : 0914-5508
ISSN-L : 0914-5508
症例
深部脳静脈血栓症の3症例
内山 拓岡本 浩昌田島 裕香畑 智彦鈴山 堅志
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2015 年 43 巻 6 号 p. 459-464

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Cerebral venous thrombosis is a rare and uncommon type of stroke, and the deep venous system is affected in approximately 10% of cases of cerebral venous thrombosis. The clinical presentation of deep cerebral venous thrombosis is variable and nonspecific, and hence, it is difficult to diagnose this condition. In this report, we describe three cases of deep cerebral venous thrombosis. All the cases presented with mild decreased consciousness, and two cases also experienced quadriparesis. Magnetic resonance (MR) images demonstrated vasogenic edema in the thalamus/thalami, and T2* -weighted MR images indicated a thrombus in the deep venous system in all the cases. Hence, T2* -weighted MR images and magnetic resonance venography is useful for the early diagnosis of deep cerebral venous thrombosis, which can be followed by prompt treatment.

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© 2015 一般社団法人 日本脳卒中の外科学会
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