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短暂性脑缺血发作:上矢状窦血栓形成的一种罕见表现综合征。

Transient ischaemic attack: an exceptional presenting syndrome of a superior sagittal sinus thrombosis.

作者信息

Scuotto Assunta, D'Avanzo Raffaele, Natale Massimo, Rotondo Michele

机构信息

Department of Neuroscience, Second University of Naples, Naples, Italy.

出版信息

BMJ Case Rep. 2013 Nov 21;2013:bcr2013200894. doi: 10.1136/bcr-2013-200894.

Abstract

We report a case of a transient ischaemic attack (TIA) as an exceptionally rare form of cerebral vein thrombosis. A 41-year-old man presented with a headache and five episodes of a transient left hemiparesis lasting approximately 10-15 min over the course of 2 weeks. Arterial origins of the disease were ruled out by detailed investigations. However, MR venography revealed a superior sagittal sinus thrombosis with numerous prominent collateral venous channels. No parenchymal lesion was seen. After medical therapy, no further transient neurological deficit occurred. Follow-up MR venography showed sinus recanalisation.

摘要

我们报告一例短暂性脑缺血发作(TIA)作为脑静脉血栓形成极为罕见的一种形式。一名41岁男性出现头痛,并在2周内发生了5次短暂性左半身轻瘫发作,每次持续约10 - 15分钟。通过详细检查排除了该疾病的动脉源性病因。然而,磁共振静脉血管造影显示上矢状窦血栓形成并伴有许多明显的侧支静脉通道。未见实质病变。经过药物治疗后,未再出现短暂性神经功能缺损。随访磁共振静脉血管造影显示窦再通。

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