与结核性脑膜炎相关的脑静脉窦血栓形成的罕见表现。
A rare presentation of cerebral venous sinus thrombosis associated with tubercular meningitis.
作者信息
Verma Rajesh, Lalla Rakesh, Patil Tushar B, Tiwari Navin
机构信息
Department of Neurology, King George Medical University, Lucknow, Uttar Pradesh, India.
出版信息
BMJ Case Rep. 2013 Aug 5;2013:bcr2013009892. doi: 10.1136/bcr-2013-009892.
Abstract
Central nervous system (CNS) tuberculosis may manifest as meningitis, meningoencephalitis, tuberculoma, tubercular abscess, stroke due to tuberculous vasculitis and tuberculous encephalopathy. Occasionally, tubercular meningitis (TBM) can predispose to cerebral venous sinus thrombosis (CVST). We report a young man, who developed CVST as a complication of TBM. Worsening of pre-existing headache, impairment of consciousness and seizures should raise suspicion of CVST in any patient with CNS infection. Early diagnosis and appropriate clinical management are important for good outcome.
摘要
中枢神经系统（CNS）结核可表现为脑膜炎、脑膜脑炎、结核瘤、结核性脓肿、结核性血管炎所致中风及结核性脑病。偶尔，结核性脑膜炎（TBM）可诱发脑静脉窦血栓形成（CVST）。我们报告一名年轻男性，其因TBM并发CVST。任何患有中枢神经系统感染的患者，若原有头痛加重、意识障碍及癫痫发作，均应怀疑CVST。早期诊断及恰当的临床处理对于良好预后很重要。
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