Pekdemir Murat, Yilmaz Serkan, Ersel Murat, Sarisoy Hasan Tahsin
Department of Emergency Medicine, School of Medicine, Kocaeli University, Kocaeli, Türkiye.
Am J Emerg Med. 2008 Mar;26(3):383.e1-2. doi: 10.1016/j.ajem.2007.05.029.
Headache represents up to 4% of all emergency department (ED) visits. Emergency physicians generally are concerned with identifying those patients whose headaches are caused by life-threatening conditions. Cerebral venous sinus thrombosis may be difficult to diagnose clinically because of its various and nonspecific manifestations. The most frequent but least specific symptom of sinus thrombosis is severe headache, which is present in more than 90% of adult patients. In the case report we present, a patient had severe headache and was diagnosed until third ED visit at different hospitals. He had one of the most unusual causes of headache, that is, cerebral venous sinus thrombosis due to hyperthyroidism.
头痛占急诊科就诊病例的4%。急诊医生通常关注识别那些由危及生命的疾病引起头痛的患者。由于其表现多样且不具特异性，脑静脉窦血栓形成在临床上可能难以诊断。静脉窦血栓形成最常见但最不具特异性的症状是严重头痛，超过90%的成年患者会出现这种症状。在我们呈现的病例报告中，一名患者患有严重头痛，在不同医院直至第三次到急诊科就诊时才得以确诊。他患有最不寻常的头痛病因之一，即由甲状腺功能亢进引起的脑静脉窦血栓形成。
