Wang Bonnie, Moon Seong-Jin, Olivero William C, Wang Huan
Department of Internal Medicine, University of Illinois, College of Medicine at Urbana-Champaign, Urbana, IL, USA Carle Foundation Hospital, Urbana, IL, USA
University of Illinois, College of Medicine at Urbana-Champaign, Urbana, IL, USA.
J Surg Case Rep. 2013 May 9;2013(5):rjt035. doi: 10.1093/jscr/rjt035.
Cerebral venous thrombosis (CVT) remains a diagnostic and therapeutic challenge for clinicians. Manifesting in a remarkably wide spectrum of symptoms and signs, CVT often presents in a misleading fashion-if unrecognized or misdiagnosed, it carries potentially fatal consequences. Visual loss is quite rare as the initial presentation of CVT and is typically a finding more frequent in chronic cases with associated papilledema on funduscopy Ferro, Lopes, Rosas and Fontes (Delay in Hospital Admission of Patients with Cerebral Vein and Dural Sinus Thrombosis. Cerebrovasc Dis 2005;19: :152-6). We report a rare case of acute cortical blindness as the initial presentation of CVT in an 18-year-old female patient and review the current literature.
脑静脉血栓形成（CVT）对临床医生来说仍然是一个诊断和治疗上的挑战。CVT的症状和体征表现极为多样，常常以误导性的方式呈现——如果未被识别或误诊，可能会带来致命后果。视力丧失作为CVT的初始表现相当罕见，通常在慢性病例中更常见，眼底镜检查可见相关视乳头水肿[费罗、洛佩斯、罗萨斯和丰特斯（脑静脉和硬脑膜窦血栓形成患者的住院延迟。脑血管疾病2005；19：152 - 6）]。我们报告一例罕见病例，一名18岁女性患者以急性皮质盲作为CVT的初始表现，并对当前文献进行综述。
