机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China神经科系统神经内科首都医科大学宣武医院[2]Advanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China[3]Department of China-America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing, China科技平台中美神经科学研究所首都医科大学宣武医院[4]Department of Neurosurgery, Wayne State University School of Medicine, Detroit, Michigan, USA[5]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China神经科系统神经外科首都医科大学宣武医院
In keeping with its status as one of the major causes of disability and mortality worldwide, brain damage induced by cerebral arterial disease has been the subject of several decades of scientific investigation, which has resulted in a vastly improved understanding of its pathogenesis. Brain injury mediated by venous etiologies, however, such as cerebral, jugular, and vertebral venous outflow disturbance, have been largely ignored by clinicians. Unfortunately, this inattention is not proportional to the severity of cerebral venous diseases, as the impact they exact on the quality of life of affected patients may be no less than that of arterial diseases. This is evident in disease sequelae such as cerebral venous thrombosis (CVT)-mediated visual impairment, epilepsy, and intracranial hypertension; and the long-term unbearable head noise, tinnitus, headache, dizziness, sleeping disorder, and even severe intracranial hypertension induced by non-thrombotic cerebral venous sinus (CVS) stenosis and/or internal jugular venous (IJV) stenosis. In addition, the vertebral venous system (VVS), a large volume, valveless vascular network that stretches from the brain to the pelvis, provides a conduit for diffuse transmission of tumors, infections, or emboli, with potentially devastating clinical consequences. Moreover, the lack of specific features and focal neurologic signs seen with arterial etiologies render cerebral venous disease prone to both to misdiagnoses and missed diagnoses. It is therefore imperative that awareness be raised, and that as comprehensive an understanding as possible of these issues be cultivated. In this review, we attempt to facilitate these goals by systematically summarizing recent advances in the diagnosis and treatment of these entities, including CVT, CVS stenosis, and IJV stenosis, with the aim of providing a valid, practical reference for clinicians.
基金:
National Key R&D Program of China [2017YFC1308401]; National Natural Science FoundationNational Natural Science Foundation of China (NSFC) [81371289]; Project of Beijing Municipal Top Talent for Healthy Work of China [2014-2-015]
第一作者机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China[2]Advanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China[3]Department of China-America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing, China
共同第一作者:
通讯作者:
通讯机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China[2]Advanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China[3]Department of China-America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing, China[*1]Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
推荐引用方式(GB/T 7714):
Bai Chaobo,Wang Zhongao,Stone Christopher,et al.Pathogenesis and Management in Cerebrovenous Outflow Disorders[J].AGING AND DISEASE.2021,12(1):203-222.doi:10.14336/AD.2020.0404.
APA:
Bai, Chaobo,Wang, Zhongao,Stone, Christopher,Zhou, Da,Ding, Jiayue...&Meng, Ran.(2021).Pathogenesis and Management in Cerebrovenous Outflow Disorders.AGING AND DISEASE,12,(1)
MLA:
Bai, Chaobo,et al."Pathogenesis and Management in Cerebrovenous Outflow Disorders".AGING AND DISEASE 12..1(2021):203-222