Slankamenac Petar, Zivanović Zeljko, Jesić Aleksandar, Vitić Branka, Ruzicka-Kaloci Svetlana, Divjak Ivana, Jovicević Mirjana, Sekulić Slobodan
Clinical Centre of Vojvodina, Department of Neurology.
Med Glas (Zenica). 2011 Aug;8(2):293-5.
A 21-year-old woman taking oral contraceptives presented with headaches, nausea, vomiting and somnolence. The next day she had a generalized tonic-clonic seizure after which her neurological condition deteriorated. CT and MRI showed multiple cerebral haemorrhages, while MR venography revealed extensive dural sinus and venous thrombosis involving almost all sinuses, great cerebral vein of Galen and internal cerebral veins. Two weeks after initiation of the anticoagulant treatment the patient recovered completely with complete recanalization of all cerebral sinuses and veins. Although the patient had conditions which were indicative of poor outcome, her neurological deficit improved completely, which correlated with recanalization of the thrombosed vessels.
一名21岁服用口服避孕药的女性出现头痛、恶心、呕吐和嗜睡症状。次日,她发生了全面性强直阵挛发作,之后神经状况恶化。CT和MRI显示多处脑出血,而磁共振静脉血管造影显示广泛的硬脑膜窦和静脉血栓形成,几乎累及所有窦、大脑大静脉和大脑内静脉。抗凝治疗开始两周后,患者完全康复,所有脑窦和静脉完全再通。尽管患者有提示预后不良的情况,但她的神经功能缺损完全改善,这与血栓形成血管的再通相关。