Anand Pria, Orru Emanuele, Izbudak Izlem, Zhang Jiaying, Kheradmand Amir
Department of Neurology, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Department of Radiology, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Pract Neurol. 2017 Aug;17(4):312-313. doi: 10.1136/practneurol-2017-001600. Epub 2017 May 16.
A 52-year-old man with a history of factor V Leiden thrombophilia, persistent headaches and papilloedema presented with worsening vision and confusion. MRI and MR angiography of the brain at the time of this presentation showed findings concerning for transverse sinus thrombosis and an associated dural arteriovenous fistula. Dural venous sinus thrombosis can lead to the formation of a dural arteriovenous fistula, which must be considered in the differential diagnosis for intracranial hypertension in patients with thrombophilia.
一名52岁男性，有因子V莱顿血栓形成倾向病史，持续头痛和视乳头水肿，现出现视力恶化和意识模糊。此次就诊时脑部的MRI和磁共振血管造影显示有横窦血栓形成及相关硬脑膜动静脉瘘的可疑表现。硬脑膜静脉窦血栓形成可导致硬脑膜动静脉瘘的形成，在血栓形成倾向患者颅内高压的鉴别诊断中必须考虑到这一点。
