DeLashaw Mini R, Vizioli Thomas L, Counselman Francis L
Department of Emergency Medicine, Eastern Virginia Medical School and Emergency Physicians of Tidewater, Norfolk, Virginia, USA.
J Emerg Med. 2005 Oct;29(3):289-93. doi: 10.1016/j.jemermed.2005.02.010.
A 19-year-old woman, 8 days postpartum, presented to the Emergency Department (ED) with a chief complaint of headache, decreased vision, and agitation. Past medical history was unremarkable. Physical examination was remarkable only for dry mucous membranes, decreased visual acuity, and trace pedal edema bilaterally. While in the ED, the patient experienced a generalized tonic-clonic seizure. Computed tomography (CT) scan of the head was suspicious for venous infarction. Magnetic resonance imaging (MRI) and MR venography revealed sagittal sinus and left transverse sinus thrombosis. The risk factors, clinical presentation, diagnostic evaluation, and management of cerebral venous thrombosis are reviewed.
一名19岁女性，产后8天，因头痛、视力下降和烦躁不安为主诉就诊于急诊科。既往病史无特殊。体格检查仅发现黏膜干燥、视力下降以及双侧轻度足背水肿。在急诊科时，患者发生了全身性强直阵挛性癫痫发作。头部计算机断层扫描（CT）显示可疑静脉梗死。磁共振成像（MRI）和磁共振静脉造影显示上矢状窦和左侧横窦血栓形成。本文对脑静脉血栓形成的危险因素、临床表现、诊断评估及治疗进行了综述。
