Huang Pai-Hao, Su Jen-Jen, Lin Po-Hsien
Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan.
Acta Neurol Taiwan. 2010 Jun;19(2):125-30.
Cerebral venous thrombosis (CVT) has a wide spectrum of symptoms and is therefore difficult to diagnose. CVT has been reported to be associated with various etiologies. There are, however, very few reported cases of CVT associated with iron deficiency anemia (IDA), especially in adults.
We reported the case of a female patient with seizure and hemorrhagic infarction due to sagittal sinus thrombosis. She had severe hypochromic microcytic anemia due to iron deficiency, and had a good prognosis after iron supplementation and oral anticoagulation therapy.
The present case indicates that iron deficiency is a risk factor for CVT.
脑静脉血栓形成(CVT)症状多样,因此难以诊断。据报道,CVT与多种病因相关。然而,CVT合并缺铁性贫血(IDA)的报道病例极少,尤其是在成人中。
我们报告了一例因矢状窦血栓形成导致癫痫发作和出血性梗死的女性患者。她因缺铁患有严重的低色素小细胞贫血,在补充铁剂和口服抗凝治疗后预后良好。
本病例表明缺铁是CVT的一个危险因素。