Papet C, Gutzeit A, Pless M
Medical Oncology, Cantonal Hospital Winterthur, Winterthur, Switzerland.
Case Rep Oncol. 2011 Sep;4(3):555-9. doi: 10.1159/000334850. Epub 2011 Nov 29.
We report on two patients with cerebral sinus venous thrombosis following chemotherapy with cisplatin, bleomycin and etoposide for non-seminomatous germ cell tumor. Headache and neurological deficits were the leading symptoms. Cancer and cisplatin chemotherapy are well-known risk factors for thromboembolic events. The therapeutic strategy is an anticoagulant therapy. Symptoms are usually reversible within weeks under this therapy. Therefore, in patients with testicular cancer and chemotherapy who present with neurological symptoms, cerebral sinus venous thrombosis should be considered in the differential diagnosis.
我们报告了两名非精原细胞瘤性生殖细胞肿瘤患者,在接受顺铂、博来霉素和依托泊苷化疗后发生脑静脉窦血栓形成。头痛和神经功能缺损是主要症状。癌症和顺铂化疗是众所周知的血栓栓塞事件风险因素。治疗策略是抗凝治疗。在这种治疗下,症状通常在数周内可逆。因此,对于患有睾丸癌并接受化疗且出现神经症状的患者,鉴别诊断时应考虑脑静脉窦血栓形成。