一名儿科患者钝性头部损伤并发硬脑膜窦和颈内静脉血栓形成。
Dural sinus and internal jugular vein thrombosis complicating a blunt head injury in a pediatric patient.
作者信息
Beer-Furlan André, de Almeida César Cimonari, Noleto Gustavo, Paiva Wellingson, Ferreira Almir Andrade, Teixeira Manoel Jacobsen
机构信息
Department of Neurosurgery, University of São Paulo Medical School (FMUSP), Rua Alves Guimaraes, 643 - ap.132, São Paulo, São Paulo 05410-001, Brazil.
出版信息
Childs Nerv Syst. 2013 Aug;29(8):1231-4. doi: 10.1007/s00381-013-2184-7. Epub 2013 Jun 9.
INTRODUCTION
Cerebral venous sinus thrombosis (CVST) following a blunt head trauma is a rare condition, described in the literature along with the lack of consensus regarding diagnosis and management. We present a case of a pediatric patient with a blunt head injury and epidural hematoma, who developed dural sinus and internal jugular vein thrombosis with fatal outcome.
DISCUSSION
Most of reports show good outcome and recovery, but CVST might be related to poor recovery and even lead to death. The diagnosis and management of this condition are discussed based on a literature review.
CONCLUSION
It is important to keep a high degree of suspicion of CVST since early diagnosis may prevent potentially treatable catastrophic outcomes.
引言
钝性头部外伤后发生的脑静脉窦血栓形成（CVST）是一种罕见病症，文献中对此有所描述，但在诊断和治疗方面缺乏共识。我们报告一例患有钝性头部损伤和硬膜外血肿的儿科患者，该患者发生了硬脑膜窦和颈内静脉血栓形成并导致死亡。
讨论
大多数报告显示预后良好且可康复，但CVST可能与恢复不佳有关，甚至导致死亡。基于文献综述对该病症的诊断和治疗进行了讨论。
结论
高度怀疑CVST很重要，因为早期诊断可能预防潜在可治疗的灾难性后果。
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