Arévalo-Lorido José Carlos, Carretero-Gómez Juana
Internal Medicine Department, Zafra Hospital, County Badajoz, Spain.
Clin Med Res. 2015 Mar;13(1):40-3. doi: 10.3121/cmr.2014.1225. Epub 2014 Nov 7.
Cerebral venous thrombosis (CVT) presenting as subarachnoid hemorrhage (SAH) is infrequent. We present the case of a man with CVT of the right transverse sinus who presented with a SAH in the right parietal sinus. In this case, we describe a hyper-homocysteinemia in a heterozygous patient for the methylenetetrahydrofolate reductase C667T mutation. Our report highlights the value of an early diagnosis of CVT, the importance of identifying possible causes that could be reversed with an appropriate treatment, and the controversy about the timing for starting anticoagulation therapy in such cases.
以蛛网膜下腔出血（SAH）为表现的脑静脉血栓形成（CVT）并不常见。我们报告一例右横窦脑静脉血栓形成的男性患者，其表现为右顶窦蛛网膜下腔出血。在该病例中，我们描述了一名亚甲基四氢叶酸还原酶C667T突变杂合患者的高同型半胱氨酸血症。我们的报告强调了脑静脉血栓形成早期诊断的价值、识别可能通过适当治疗得以逆转的病因的重要性，以及此类病例中启动抗凝治疗时机的争议。
