Nagi S, Kaddour C, Soukri I, Ben Ghorbal I, Sebaï R, Belghith L, Skandrani L, Touibi S
Service de Neuroradiologie, Institut National de Neurologie, Tunis, Tunisie.
J Radiol. 2006 Sep;87(9):1084-8. doi: 10.1016/s0221-0363(06)74131-2.
We report two cases of cerebral deep venous thrombosis in female adults. The first patient presented with headaches and confusion 20 days postpartum. Deep cerebral internal venous thrombosis was suspected based on the CT scan showing bilateral hypodensity in the thalamus and internal capsules. The diagnosis was confirmed on cerebral angiography. The patient was treated but died within 3 weeks of the onset of symptoms. The second patient had no obvious predisposing factors. She presented with confusion and fever. The diagnosis was strongly suggested by the CT scan, which showed spontaneous high density in the deep venous system associated with bilateral hypodensities in the thalamus and internal capsules. Venous MR angiography revealed obliteration of internal cerebral veins and the great vein of Galen. Ten days after appropriate therapy, the patient recovered completely.
我们报告两例成年女性脑深部静脉血栓形成的病例。首例患者在产后20天出现头痛和意识模糊。根据CT扫描显示丘脑和内囊双侧低密度影,怀疑为大脑深部静脉血栓形成。脑血管造影确诊。患者接受了治疗,但在症状出现后3周内死亡。第二例患者无明显诱发因素。她表现为意识模糊和发热。CT扫描强烈提示诊断,该扫描显示深部静脉系统自发性高密度影,伴有丘脑和内囊双侧低密度影。静脉磁共振血管造影显示大脑内静脉和大脑大静脉闭塞。经过适当治疗10天后,患者完全康复。