Cerebral venous thrombosis and multidetector CT angiography: tips and tricks
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...
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Veröffentlicht in: | Radiographics 2006-10, Vol.26 Suppl 1 (suppl_1), p.S5-S18 |
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creator | Rodallec, Mathieu H Krainik, Alexandre Feydy, Antoine Hélias, Annick Colombani, Jean-Michel Jullès, Marie-Christine Marteau, Véronique Zins, Marc |
description | 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. |
doi_str_mv | 10.1148/rg.26si065505 |
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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. 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A comprehensive diagnostic approach facilitates imaging of cerebral venous thrombosis with multidetector CT.</description><subject>Cerebral Angiography</subject><subject>Cerebral Angiography - methods</subject><subject>Cerebral Veins</subject><subject>Cerebral Veins - diagnostic imaging</subject><subject>Contrast Media</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional</subject><subject>Imaging, Three-Dimensional - methods</subject><subject>Phlebography</subject><subject>Phlebography - methods</subject><subject>Physician's Practice Patterns</subject><subject>Practice Guidelines as Topic</subject><subject>Practice Patterns, Physicians</subject><subject>Radiographic Image Enhancement</subject><subject>Radiographic Image Enhancement - methods</subject><subject>Tomography, X-Ray Computed</subject><subject>Tomography, X-Ray Computed - instrumentation</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Venous Thrombosis</subject><subject>Venous Thrombosis - diagnostic imaging</subject><issn>0271-5333</issn><issn>1527-1323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0cFLwzAUBvAgipvTo1fpyZOdSV-SNt5kqBMGXuY5pO1LF23XmXSD_fd2dLijpwePHx_v8RFyy-iUMZ49-mqayOCoFIKKMzJmIkljBgmckzFNUhYLABiRqxC-KGVcZPKSjFhKe83UmCxm6DH3po52uG63IepWvm3yNrgQmXUZNdu6cyV2WHStj2bLflm5tvJms9o_RZ3bDKzzrvgO1-TCmjrgzXFOyOfry3I2jxcfb--z50VcgFBdnAhqMsktiFxIngkGHDKjrEkYlqUCCVYkYLhBzKxVNE9LziwWxliBQAuYkIchd2VqvfGuMX6vW-P0_Hmh3TqgbzSlnFFQsGM9vx_4xrc_WwydblwosK7NGvuXtcxUyjMl_4VMcZkCHGA8wMK3IXi0f1cwqg-1aF_pUy29vzsGb_MGy5M-9gC_oj-ItA</recordid><startdate>200610</startdate><enddate>200610</enddate><creator>Rodallec, Mathieu H</creator><creator>Krainik, Alexandre</creator><creator>Feydy, Antoine</creator><creator>Hélias, Annick</creator><creator>Colombani, Jean-Michel</creator><creator>Jullès, Marie-Christine</creator><creator>Marteau, Véronique</creator><creator>Zins, Marc</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0001-5694-1238</orcidid><orcidid>https://orcid.org/0000-0002-4375-0982</orcidid></search><sort><creationdate>200610</creationdate><title>Cerebral venous thrombosis and multidetector CT angiography: tips and tricks</title><author>Rodallec, Mathieu H ; Krainik, Alexandre ; Feydy, Antoine ; Hélias, Annick ; Colombani, Jean-Michel ; Jullès, Marie-Christine ; Marteau, Véronique ; Zins, Marc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-250a864f35b5648513438a9fa21edd9363f523a4aee8ff90b7d41fecaaf5e30c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Cerebral Angiography</topic><topic>Cerebral Angiography - methods</topic><topic>Cerebral Veins</topic><topic>Cerebral Veins - diagnostic imaging</topic><topic>Contrast Media</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional</topic><topic>Imaging, Three-Dimensional - methods</topic><topic>Phlebography</topic><topic>Phlebography - methods</topic><topic>Physician's Practice Patterns</topic><topic>Practice Guidelines as Topic</topic><topic>Practice Patterns, Physicians</topic><topic>Radiographic Image Enhancement</topic><topic>Radiographic Image Enhancement - methods</topic><topic>Tomography, X-Ray Computed</topic><topic>Tomography, X-Ray Computed - instrumentation</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Venous Thrombosis</topic><topic>Venous Thrombosis - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rodallec, Mathieu H</creatorcontrib><creatorcontrib>Krainik, Alexandre</creatorcontrib><creatorcontrib>Feydy, Antoine</creatorcontrib><creatorcontrib>Hélias, Annick</creatorcontrib><creatorcontrib>Colombani, Jean-Michel</creatorcontrib><creatorcontrib>Jullès, Marie-Christine</creatorcontrib><creatorcontrib>Marteau, Véronique</creatorcontrib><creatorcontrib>Zins, Marc</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Radiographics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rodallec, Mathieu H</au><au>Krainik, Alexandre</au><au>Feydy, Antoine</au><au>Hélias, Annick</au><au>Colombani, Jean-Michel</au><au>Jullès, Marie-Christine</au><au>Marteau, Véronique</au><au>Zins, Marc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebral venous thrombosis and multidetector CT angiography: tips and tricks</atitle><jtitle>Radiographics</jtitle><addtitle>Radiographics</addtitle><date>2006-10</date><risdate>2006</risdate><volume>26 Suppl 1</volume><issue>suppl_1</issue><spage>S5</spage><epage>S18</epage><pages>S5-S18</pages><issn>0271-5333</issn><eissn>1527-1323</eissn><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. 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subjects | Cerebral Angiography Cerebral Angiography - methods Cerebral Veins Cerebral Veins - diagnostic imaging Contrast Media Humans Imaging, Three-Dimensional Imaging, Three-Dimensional - methods Phlebography Phlebography - methods Physician's Practice Patterns Practice Guidelines as Topic Practice Patterns, Physicians Radiographic Image Enhancement Radiographic Image Enhancement - methods Tomography, X-Ray Computed Tomography, X-Ray Computed - instrumentation Tomography, X-Ray Computed - methods Venous Thrombosis Venous Thrombosis - diagnostic imaging |
title | Cerebral venous thrombosis and multidetector CT angiography: tips and tricks |
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