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[脑静脉血栓形成。三例临床表现]

[Cerebral venous thrombosis. Clinical presentation of three cases].

作者信息

Kegel Mogens, Eldahl Frank, Hansen Anette Wildschiødtz

机构信息

Røntgendiagnostisk Afdeling, Sønderborg Sygehus, Neurologisk Afdeling N.

出版信息

Ugeskr Laeger. 2003 Apr 28;165(18):1882-3.

Abstract

Cerebral venous thrombosis is a rare but dangerous condition. We present three cases of cerebral venous thrombosis. All three patients were females. CT scan was performed. One patient had a haemorrhagic infarct in the left temporal lobe, but CT scan was normal in the last two cases. MRI later revealed that cerebral venous thrombosis was the diagnosis in all three cases. MRI is the examination of choice when cerebral venous thrombosis is suspected. The patients were treated with heparin. One developed blindness due to optic nerve atrophy. One had discreet cognitive deficits, and the last patient had no neurological sequelae after she was discharged from the hospital.

摘要

脑静脉血栓形成是一种罕见但危险的病症。我们报告三例脑静脉血栓形成病例。所有三名患者均为女性。进行了CT扫描。一名患者左颞叶有出血性梗死,但后两例患者的CT扫描结果正常。随后的MRI检查显示,所有三例均诊断为脑静脉血栓形成。当怀疑有脑静脉血栓形成时,MRI是首选的检查方法。患者接受了肝素治疗。一名患者因视神经萎缩而失明。一名患者有轻微的认知缺陷,最后一名患者出院后没有神经后遗症。

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