Kodera Toshiaki, Hirose Satoshi, Takeuchi Hiroaki, Kikuta Ken-ichiro
Department of Neurosurgery, Sugita Genpaku Memorial Obama Municipal Hospital, Obama, Fukui, Japan.
Neurol Med Chir (Tokyo). 2010 Jan;50(1):59-61. doi: 10.2176/nmc.50.59.
A 36-year-old female presented with dural sinus thrombosis manifesting as marked enlargement of the venous sinus, which could not be differentiated from epidural hematoma on computed tomography during the acute phase. Magnetic resonance imaging showed characteristic serial changes of the thrombus in the healing process. We believe this condition developed from use of oral contraceptives. Systemic anticoagulant therapy was effective without hemorrhagic complication.
一名36岁女性因硬脑膜窦血栓形成就诊,表现为静脉窦明显扩大,急性期计算机断层扫描时无法与硬膜外血肿区分。磁共振成像显示了血栓在愈合过程中的特征性系列变化。我们认为这种情况是由口服避孕药引起的。全身抗凝治疗有效,无出血并发症。