Dural sinus thrombosis in spontaneous intracranial hypotensionHypotheses on possible mechanisms

被引:0
作者
Mario Savoiardo
Silvia Armenise
Pantaleo Spagnolo
Tiziana De Simone
Maria Luisa Mandelli
Alessandra Marcone
Giancarlo Morciano
Cosma Andreula
Eliana Mea
Massimo Leone
Luisa Chiapparini
机构
[1] Istituto Nazionale Neurologico “C. Besta”,Department of Neuroradiology
[2] Card. G. Panico Hospital,Department of Radiology
[3] F. Ferrari Hospital,Department of Radiology
[4] San Raffaele Hospital,Department of Neurology
[5] Città di Lecce,Department of Neuroradiology
[6] Istituto Nazionale Neurologico “C. Besta”,Department of Neurology
来源
Journal of Neurology | 2006年 / 253卷
关键词
spontaneous intracranial hypotension; CSF loss; dural sinus thrombosis; venous hypervolemia; blood flow velocity;
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学科分类号
摘要
Dural sinus thrombosis (DST) is rarely associated with spontaneous intracranial hypotension (SIH). Engorgement of the venous system, caused by the CSF loss that occurs in SIH, is considered to favour the thrombosis, although signs of both SIH and DST are usually seen simultaneously at the first diagnostic MRI. We observed two patients with SIH and DST. Changes in pattern of headaches and MRI findings demonstrated that DST followed SIH. In SIH, the velocity of the blood flow in the dural sinuses may be reduced because of dilatation of the venous system which compensates the CSF loss. Other possible mechanisms seem unlikely on the grounds of both clinical presentation and MRI studies.
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页码:1197 / 1202
页数:5
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