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胎儿硬脑膜窦血栓形成的自然消退:一例报告并文献复习

Spontaneous resolution of a fetal dural sinus thrombosis: one case report and review of the literatures.

作者信息

Gao Jinsong, Liu Juntao, Zhou Xiya, Bian Xuming, Dai Qing, Feng Feng, Sheng Min, Wang Chen

机构信息

Department of Obstetrics and Gynecology,Peking Union Medical College Hospital, Beijing, China.

Department of Ultrasound (Qing Dai), Peking Union Medical College Hospital, Beijing, China.

出版信息

Int J Fertil Steril. 2012 Jan;5(4):259-62. Epub 2012 Mar 20.

Abstract

Fetal dural sinus thrombosis is a rare finding. Most cases have been terminated without long-term follow-ups. Recently some reports have indicated the potentially favorable evolution of fetal dural sinus thrombosis. Most of the fetuses showing symptoms have been delivered with normal neurologic outcome. We report a case of fetal dural sinus thrombosis. Serial ultrasound and magnetic resonance images (MRI) showed the shrinkage of the thrombosis which indicated good prognosis. No physical or neurological abnormality was observed at 8-months follow-up. Conservative treatment is appropriate to prenatally diagnosed dural sinus thrombosis with favorable prognostic factors. Serial MRI or ultrasound should be taken every 1-2 months to monitor the thrombosis development and fetal well-beings.

摘要

胎儿硬脑膜窦血栓形成是一种罕见的情况。大多数病例在未进行长期随访的情况下就终止了妊娠。最近一些报告表明胎儿硬脑膜窦血栓形成可能有良好的转归。大多数出现症状的胎儿出生后神经系统结局正常。我们报告一例胎儿硬脑膜窦血栓形成的病例。系列超声和磁共振成像(MRI)显示血栓缩小,提示预后良好。8个月随访时未观察到体格或神经方面的异常。对于产前诊断且具有良好预后因素的硬脑膜窦血栓形成,保守治疗是合适的。应每1 - 2个月进行系列MRI或超声检查,以监测血栓发展情况和胎儿状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eab/4152190/c00cd9a90067/Int-J-Fertil-Steril-5-259-g01.jpg

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