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[脑静脉血栓形成与硬膜下血肿:自发性颅内低压的并发症]

[Cerebral venous thrombosis and subdural haematoma: complications of spontaneous intracranial hypotension].

作者信息

Fabricius J, Klotz J M, Hofmann E, Behr R, Neumann-Haefelin T

机构信息

Klinik für Neurologie, Klinikum Fulda gAG.

出版信息

Fortschr Neurol Psychiatr. 2012 Oct;80(10):599-601. doi: 10.1055/s-0032-1312977. Epub 2012 Oct 2.

Abstract

We report on the case of a spontaneous intracranial hypotension with subdural hygroma, as well as cerebral venous thrombosis (CVT), both known complications of intracranial hypotension. The 45-year-old patient was subsequently treated - according to current guidelines for CVT - with anticoagulation, but developed subdural haematoma (SDH), which required neurosurgical treatment. Our case highlights the complex pathophysiological sequelae of intracranial hypotension, as well as the occasionally difficult treatment decisions. Subdural hygroma probably predisposes patients to SDH during anticoagulation. Thus, the potential benefit of anticoagulation needs to be weighed against the risk of SDH on an individual basis.

摘要

我们报告了一例自发性颅内低压合并硬膜下积液以及脑静脉血栓形成(CVT)的病例,这两种情况都是颅内低压已知的并发症。这位45岁的患者随后根据当前CVT指南接受了抗凝治疗,但出现了硬膜下血肿(SDH),这需要神经外科治疗。我们的病例突出了颅内低压复杂的病理生理后遗症,以及偶尔困难的治疗决策。硬膜下积液可能使患者在抗凝过程中易患SDH。因此,需要根据个体情况权衡抗凝的潜在益处与SDH的风险。

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