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
Hauptverfasser: Rodallec, Mathieu H, Krainik, Alexandre, Feydy, Antoine, Hélias, Annick, Colombani, Jean-Michel, Jullès, Marie-Christine, Marteau, Véronique, Zins, Marc
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container_end_page S18
container_issue suppl_1
container_start_page S5
container_title Radiographics
container_volume 26 Suppl 1
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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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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