Cerebral venous thrombosis and multidetector CT angiography: tips and tricks.

Abstract : Because of the great diversity of clinical features, its unforeseeable evolution, and a small proportion of cases that will worsen in the acute phase, cerebral venous thrombosis must be diagnosed as early as possible so that specific treatment can be started, typically transcatheter thrombolysis or systemic anticoagulation. Unenhanced computed tomography (CT) is usually the first imaging study performed on an emergency basis. Unenhanced CT allows detection of ischemic changes related to venous insufficiency and sometimes demonstrates a hyperattenuating thrombosed dural sinus or vein. Helical multidetector CT venography with bolus power injection of contrast material and combined use of two-dimensional and three-dimensional reformations (maximum intensity projection, integral display, and volume rendering) provides exquisite anatomic detail of the deep and superficial intracranial venous system and can demonstrate filling defects. However, common variants of the sinovenous system should not be mistaken for sinus thrombosis. A comprehensive diagnostic approach facilitates imaging of cerebral venous thrombosis with multidetector CT.
Type de document :
Article dans une revue
Radiographics : a review publication of the Radiological Society of North America, Inc, 2006, 26 Suppl 1, pp.S5-18; discussion S42-3. 〈10.1148/rg.26si065505〉
Liste complète des métadonnées

http://www.hal.inserm.fr/inserm-00410393
Contributeur : Michel Dojat <>
Soumis le : jeudi 20 août 2009 - 12:11:45
Dernière modification le : mardi 5 décembre 2017 - 14:40:27

Identifiants

Collections

Citation

Mathieu Rodallec, Alexandre Krainik, Antoine Feydy, Annick Hélias, Jean-Michel Colombani, et al.. Cerebral venous thrombosis and multidetector CT angiography: tips and tricks.. Radiographics : a review publication of the Radiological Society of North America, Inc, 2006, 26 Suppl 1, pp.S5-18; discussion S42-3. 〈10.1148/rg.26si065505〉. 〈inserm-00410393〉

Partager

Métriques

Consultations de la notice

125