目的探讨脑内静脉窦血栓形成的临床特点,降低误诊率。方法回顾分析55例脑内静脉窦血栓形成的临床资料。结果发病年龄以青壮年为主,男女均可患病,起病形式可急可缓,症状体征表现多样,影像学表现既可为出血也可缺血,脑脊液压力均升高,细胞学可正常,也可轻度异常。一旦确诊,肝素抗凝,预后良好。结论脑静脉窦血栓形成的临床表现缺乏特异性,MRV及DSA可以确诊,可存在解剖异常现象,需综合考虑才能减少误诊。 Objective To investigate the clinical features of cerebral venous sinus thrombosis and reduce the rate of misdiagnosis. Methods Retrospective analysis of 55 cases of intracranial venous sinus thrombosis clinical data. Results The age of onset was mainly young and middle-aged, both men and women could be sick. The onset of the disease was exacerbated. Symptomatic signs and symptoms varied. The imaging findings were both hemorrhage and ischemia. Cerebrospinal fluid pressure increased and cytology could be normal , But also mild abnormalities. Once diagnosed, heparin anticoagulation, the prognosis is good. Conclusions The clinical manifestations of cerebral venous sinus thrombosis are lack of specificity. MRV and DSA can be diagnosed, and there may be abnormal anatomy. Consideration should be given to reduce misdiagnosis.