Michel Miriam, Haberlandt Edda, Baumann Matthias, Entenmann Andreas, Wagner Michaela, Rostasy Kevin
Department of Pediatrics, Medical University of Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria.
Department of Neuroradiology, Medical University of Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria.
Case Rep Pediatr. 2015;2015:358164. doi: 10.1155/2015/358164. Epub 2015 Oct 19.
Background. The causes of cerebral venous thrombosis (CVT) are manifold as is its clinical presentation. Case. We report the case of a CVT following lumbar puncture and intravenous glucocorticosteroid therapy in a female adolescent with a clinically isolated syndrome and risk factors for thrombosis. Conclusion. In adolescent patients with acute inflammatory disease undergoing lumbar puncture followed by intravenous high-dose glucocorticosteroid therapy, one should be aware of the elevated risk for thrombosis. A persistent headache with change in the headache pattern and loss of a postural component might be a sign for CVT, requiring emergency imaging of the brain.
背景。脑静脉血栓形成（CVT）的病因多种多样，其临床表现亦是如此。病例。我们报告了一名患有临床孤立综合征和血栓形成危险因素的女性青少年在接受腰椎穿刺和静脉注射糖皮质激素治疗后发生CVT的病例。结论。对于患有急性炎症性疾病且接受腰椎穿刺后再进行静脉高剂量糖皮质激素治疗的青少年患者，应意识到血栓形成风险升高。持续性头痛且头痛模式改变以及姿势性头痛成分消失可能是CVT的迹象，需要紧急进行脑部影像学检查。
