nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2021-2-10-18nnp-1534Research ArticleLECTURESЛЕКЦИЯCerebral venous thrombosis and its hemorrhagic complicationsЦеребральный венозный тромбоз и его геморрагические осложненияКулешА. А.KuleshA. A.

Россия, 614590, Пермь, ул. Петропавловская, 26 

Russia, 614590, Perm, 26 Petropavlovskaya St. 

aleksey.kulesh@gmail.comФГБОУ ВО «Пермский государственный медицинский университет им. акад. Е.А. Вагнера» Минздрава РоссииРоссияE.A. Wagner Perm State Medical University, Ministry of Health of RussiaRussian Federation2021210420211321018Copyright © Kulesh A.A., 20212021Кулеш А.А.Kulesh A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/1534

 Cerebral sinus thrombosis or cerebral venous thrombosis (CVT) is an important cause of nontraumatic intracranial hemorrhage in younger patients. CVT is associated with multiple risk factors and clinical conditions, is often undetected or verified late, and most importantly, has a relatively good prognosis if the treatment is started early. In this review, we describe CVT epidemiology and risk  factors, analyze its pathophysiology and clinical symptoms and  discuss modern diagnostic approaches to diagnosis, treatment and  secondary prevention. The article emphasizes the hemorrhagic  presentations of CVT, which in clinical settings are difficult to  diagnose and treat. 

 Тромбоз мозговых синусов, или церебральный венозный тромбоз (ЦВТ), является важной причиной нетравматического внутричерепного  кровоизлияния у молодых пациентов. ЦВТ характеризуется широким  спектром клинических проявлений, связан со множеством факторов риска  и клинических состояний, нередко не диагностируется или верифицируется  с опозданием и, что наиболее важно, при своевременном лечении отличается относительно хорошим прогнозом. В статье рассматриваются эпидемиология и факторы риска ЦВТ, анализируются патогенез заболевания и его клиническая картина, обсуждаются современные подходы к диагностике, лечению и вторичной профилактике. Акцент в статье сделан на геморрагических проявлениях ЦВТ, диагностика и лечение которых представляют наибольшую клиническую сложность. 

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The authors declare that there are no conflicts of interest present.