Shah Christopher T, Rizqallah Jason J, Oluwole Oladoyin, Kalnins Aleksandrs, Sheagren John N
College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USA.
Case Rep Med. 2011;2011:815618. doi: 10.1155/2011/815618. Epub 2011 Jul 9.
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.
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。