耳源性與非耳源性腦靜脈竇血栓症之早期識別與管理

// Early Identification and Management of Otogenic and Nonotogenic Cerebral Venous Sinus Thrombosis

本研究比較39例有無耳源性腦靜脈竇血栓症（CVST），以優化病因特異性治療｜利用核磁共振靜脈攝影（MRV）和D-二聚體檢測，耳源性CVST具獨特臨床特徵且D-二聚體較低，有助早期診斷｜耳源性患者手術治療恢復較佳，非耳源性需客製化抗凝治療且死亡率較高｜結合D-二聚體、MRV及症狀評估，有效區分CVST病因，指導精準治療。

// This study compared otogenic and nonotogenic cerebral venous sinus thrombosis (CVST) in 39 patients to improve etiology-specific treatment. Using MR venography and D-dimer testing, otogenic CVST showed distinct clinical features and lower D-dimer levels, aiding early diagnosis. Otogenic CVST patients had better recovery with surgical treatment, while nonotogenic cases required tailored anticoagulation and had higher mortality. Combining D-dimer, MRV, and symptom assessment effectively differentiates CVST causes for targeted therapy.

Published 2026年6月11日