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[遗传性高凝状态与脑静脉血栓形成的现状。3例报告]

[Status of hereditary hypercoagulability and cerebral venous thrombosis. Report of 3 cases].

作者信息

Guevara Carlos, Nogales-Gaete Jorge, Figueroa Tatiana, Sáez David, Valenzuela Daniel

机构信息

Departamento de Neurología, Facultad de Medicina, Campus Sur, Universidad de Chile, Hospital Barros Luco-Trudeau.

出版信息

Rev Med Chil. 2002 Jan;130(1):79-85.

Abstract

Hereditary hypercoagulability has been identified as risk factor in approximately 30% of cerebral venous thrombosis cases. We report three females with this association. A 38 years old female with a history of deep venous thrombosis of the lower limb, presented with headache, vomiting and a generalized seizure. Magnetic resonance angiography showed a partial thrombosis of the left lateral and superior longitudinal venous sinuses. Coagulation study showed a resistance to activated C protein and factor V Leyden. A 42 years old woman with a history of deep venous thrombosis, presented a right hemiplegia during a hospitalization. Magnetic resonance showed a left lateral hemorrhagic infarction. Magnetic resonance angiography showed an absence of signal in three venous sinuses. Coagulation study showed a protein C deficiency. A 17 years old woman presented a right hemiparesis in the sixth day of puerperium. CAT scan showed a left frontoparietal subcortical venous infarction. Coagulation study showed an antithrombin III deficiency.

摘要

遗传性高凝状态已被确定为约30%的脑静脉血栓形成病例的危险因素。我们报告了三例与此相关的女性病例。一名38岁有下肢深静脉血栓形成病史的女性,出现头痛、呕吐和全身性癫痫发作。磁共振血管造影显示左侧外侧和上矢状窦部分血栓形成。凝血研究显示对活化C蛋白和因子V莱顿有抵抗。一名42岁有深静脉血栓形成病史的女性,在住院期间出现右侧偏瘫。磁共振显示左侧外侧出血性梗死。磁共振血管造影显示三个静脉窦无信号。凝血研究显示蛋白C缺乏。一名17岁女性在产褥期第六天出现右侧轻瘫。计算机断层扫描显示左侧额顶叶皮质下静脉梗死。凝血研究显示抗凝血酶III缺乏。

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