Messaoudi F, Yazidi M, Ben Jemaa S, Messaoudi L, Kallel M, Basly M, Chibani M, Rachdi R, Mrissa R, Yedes M
Service de Gynécologie Obstétrique, Hôpital Militaire de Tunis.
Tunis Med. 2007 Sep;85(9):744-7.
cerebral venous thrombophlebitis (CVT) is a rare but serious pathology. The pregnancy and especially the postpartum constitute supporting circumstances occured of the CVT.
the aim of our study is to remember the symptomatology of CVT, the importance of the IRM and the angio IRM in the diagnosis of CVT, and its treatment.
We present a retrospective study relating to 7 cases of CVT during gravidopuerperality over 7 years (1996 to 2002). The average age of our patients is 32.1 years. The CVT occured during the first trimester of the pregnancy in one case and in the postpartum in 6 cases. The symptomatology was dominated by cephalgia and the signs of intracranian hypertension. Convulsions occured in 3 cases. The diagnosis of CVT was confirmed by IRM coupled with the Angio-IRM in all cases. The treatment by heparinotherapy was instaured immediately and relayed by the Anti-Vit K as the evolution was favorable in all cases.
cerebral venous thrombophebitis (CVT) is a serious pathology (especially in pregnancy and post partum). The diagnosis is performed by the magnetic resonance imaging (IRM) and the early introduction of the heparinotherapy.
脑静脉血栓形成(CVT)是一种罕见但严重的病症。妊娠尤其是产后是CVT发生的相关情况。
我们研究的目的是回顾CVT的症状学、磁共振成像(MRI)和血管造影MRI在CVT诊断中的重要性及其治疗方法。
我们进行了一项回顾性研究,涉及7年间(1996年至2002年)妊娠期和产褥期的7例CVT病例。我们患者的平均年龄为32.1岁。CVT发生于1例妊娠早期和6例产后。症状以头痛和颅内高压体征为主。3例发生惊厥。所有病例均通过MRI联合血管造影MRI确诊为CVT。所有病例病情进展顺利,立即开始肝素治疗,随后使用维生素K拮抗剂。
脑静脉血栓形成(CVT)是一种严重病症(尤其是在妊娠和产后)。通过磁共振成像(MRI)进行诊断,并尽早开始肝素治疗。