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继发于脑静脉窦血栓形成的急性硬膜下血肿:病例报告及文献复习

Acute subdural hematoma secondary to cerebral venous sinus thrombosis: Case report and review of literature.

作者信息

Bansal Hanish, Chaudhary Ashwani, Mahajan Anuj, Paul Birinder

机构信息

Department of Neurosurgery, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.

出版信息

Asian J Neurosurg. 2016 Apr-Jun;11(2):177. doi: 10.4103/1793-5482.175632.

Abstract

Cerebral venous sinus thrombosis is a rare type of stroke primarily affecting young women. Diagnosis is generally delayed or overlooked due to a wide spectrum of clinical symptoms. Subdural hematoma secondary to cerebral venous sinus thrombosis is very rare. We report a case of 40-year-old female with cerebral venous sinus thrombosis who presented to us with an acute subdural hematoma and subarachnoid hemorrhage besides venous infarct. Management of such patients is complicated due to the rarity of the condition and contraindication for the use of anticoagulation. We conducted a thorough literature search through PubMed and could find only nine cases of spontaneous subdural hematoma secondary to cerebral venous sinus thrombosis.

摘要

脑静脉窦血栓形成是一种罕见的中风类型,主要影响年轻女性。由于临床症状范围广泛,诊断通常会延迟或被忽视。脑静脉窦血栓形成继发的硬膜下血肿非常罕见。我们报告一例40岁女性脑静脉窦血栓形成患者,除静脉梗死外,还伴有急性硬膜下血肿和蛛网膜下腔出血。由于这种情况罕见且使用抗凝治疗存在禁忌,此类患者的管理很复杂。我们通过PubMed进行了全面的文献检索,仅发现9例脑静脉窦血栓形成继发自发性硬膜下血肿的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbed/4802952/d46963f78aeb/AJNS-11-177-g001.jpg

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