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妊娠期脑静脉血栓形成——一个特殊病例的深刻寓言

Cerebral Venous Thrombosis in Pregnancy-A Poignant Allegory of an Unusual Case.

作者信息

Marwah Sheeba, Shailesh Gaikwad Harsha, Gupta Sumedha, Sharma Manjula, Mittal Pratima

机构信息

Research Officer, Department of Obstetrics and Gynecology, VMMC and Safdarjung Hospital , New Delhi, India .

Professor, Department of Obstetrics and Gynecology, VMMC and Safdarjung Hospital , New Delhi, India .

出版信息

J Clin Diagn Res. 2016 Dec;10(12):QD08-QD09. doi: 10.7860/JCDR/2016/22822.9071. Epub 2016 Dec 1.

Abstract

Cerebral Venous Thrombosis (CVT), also known as cortical venous, cerebral sinus, cerebral venous sinus, or dural sinus thrombosis, is an infrequent grave condition affecting pregnant females, resulting from clot formation in one of the many outflow tracts of the brain. Although pregnancy-associated stroke or CVT is uncommon, the risk of stroke is greatly increased above the low baseline rate in young patients during late pregnancy and, even more so, during the puerperium. Haemorrhagic infarction can occur in the acute stage of CVT. The article reports a case of CVT in puerperium in woman without any risk factors for thrombosis, highlighting the difficulties encountered in differentiating this rare cause from common diagnoses such as eclampsia. Also, clinical considerations and relevant literature review on prognostic factors affecting outcome have been addressed. CVT is an uncommon serious neurologic disorder in young gravidas requiring prudent assessment of the potential differential diagnoses and prompt management.

摘要

脑静脉血栓形成(CVT),也称为皮质静脉、脑窦、脑静脉窦或硬脑膜窦血栓形成,是一种影响孕妇的罕见严重病症,由大脑众多流出道之一形成血栓所致。尽管妊娠相关中风或CVT并不常见,但在妊娠晚期,年轻患者中风风险会大幅高于较低的基线率,在产褥期更是如此。出血性梗死可发生在CVT的急性期。本文报道了一例无任何血栓形成危险因素的产褥期CVT病例,强调了将这种罕见病因与子痫等常见诊断区分开来所遇到的困难。此外,还讨论了影响预后的临床因素及相关文献综述。CVT在年轻孕妇中是一种罕见的严重神经系统疾病,需要对潜在的鉴别诊断进行谨慎评估并及时处理。

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Cerebral Sinus Thrombosis.颅内静脉窦血栓形成。
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本文引用的文献

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Case of cerebral venous thrombosis with unusual venous infarcts.伴有不寻常静脉梗死的脑静脉血栓形成病例。
J Clin Diagn Res. 2015 Apr;9(4):TD08-10. doi: 10.7860/JCDR/2015/12264.5848. Epub 2015 Apr 1.
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Stroke in pregnancy and the puerperium.妊娠和产褥期的卒中
Postgrad Med J. 2008 May;84(991):238-45. doi: 10.1136/pgmj.2007.066167.
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A case of postpartum cerebral venous thrombosis.
J Neurosci Nurs. 2006 Oct;38(5):350-3. doi: 10.1097/01376517-200610000-00005.

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