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脑静脉和窦血栓形成的诊断延迟:机械取栓和溶栓的成功应用

Delay in diagnosis of cerebral venous and sinus thrombosis: successful use of mechanical thrombectomy and thrombolysis.

作者信息

Shah Christopher T, Rizqallah Jason J, Oluwole Oladoyin, Kalnins Aleksandrs, Sheagren John N

机构信息

College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USA.

出版信息

Case Rep Med. 2011;2011:815618. doi: 10.1155/2011/815618. Epub 2011 Jul 9.

DOI:10.1155/2011/815618
PMID:21776277
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3138110/
Abstract

Cerebral venous and sinus thrombosis is a relatively rare condition with a variable presentation that can translate into a difficult workup and a delay in diagnosis and treatment. We describe the successful use of mechanical thrombectomy and thrombolysis in the case of an eighteen-year-old woman that presented with progressive thrombosis of the jugular veins and dural sinuses despite adequate anticoagulation. Our case highlights the need for clinicians to include CVST in the initial differential diagnosis of patients in order to prevent delays and poor outcomes.

摘要

脑静脉和静脉窦血栓形成是一种相对罕见的疾病,其表现多样,可能导致检查困难以及诊断和治疗延迟。我们描述了一名18岁女性患者的成功治疗案例,该患者尽管接受了充分的抗凝治疗,但仍出现了颈静脉和硬脑膜窦的进行性血栓形成,我们对其成功实施了机械取栓和溶栓治疗。我们的案例强调了临床医生在对患者进行初步鉴别诊断时应考虑到脑静脉窦血栓形成,以避免延误和不良后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e3a/3138110/c1a35bb328c7/CRIM2011-815618.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e3a/3138110/4fe117a1d641/CRIM2011-815618.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e3a/3138110/c1a35bb328c7/CRIM2011-815618.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e3a/3138110/4fe117a1d641/CRIM2011-815618.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e3a/3138110/c1a35bb328c7/CRIM2011-815618.002.jpg

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Cerebral venous and sinus thrombosis in women.女性脑静脉窦血栓形成
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