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一名昏迷的脑静脉窦血栓形成患者成功进行机械取栓术:病例报告

Successful mechanical thrombectomy in a comatose patient with cerebral venous sinus thrombosis: A case report.

作者信息

Verhagen Merel Jj, van Es Adriaan Cgm, Lycklama À Nijeholt Geert J, Jellema Korné, Coutinho Jonathan, van den Wijngaard Ido R

机构信息

1 Haaglanden Medical Center, The Hague, The Netherlands.

2 Erasmus MC Rotterdam, The Netherlands.

出版信息

Interv Neuroradiol. 2017 Aug;23(4):437-440. doi: 10.1177/1591019917706051. Epub 2017 May 17.

Abstract

Cerebral venous sinus thrombosis is a rare cause of stroke, which is routinely treated with systemic heparin. Unfavourable outcome is often seen in severe cases. Therefore alternative treatment methods should be explored in these patients. Due to the risk of haemorrhagic complications, treatment without administration of thrombolytics is of particular interest. This report presents a case of successful mechanical thrombectomy, without the use of thrombolytics, in a comatose patient with cerebral venous sinus thrombosis.

摘要

脑静脉窦血栓形成是一种罕见的中风病因,通常采用全身性肝素治疗。严重病例常出现不良预后。因此,应在这些患者中探索替代治疗方法。由于存在出血并发症的风险,不使用溶栓药物的治疗方法尤其值得关注。本报告介绍了一例在昏迷的脑静脉窦血栓形成患者中成功进行机械取栓且未使用溶栓药物的病例。

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本文引用的文献

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Anticoagulation for cerebral venous sinus thrombosis.脑静脉窦血栓形成的抗凝治疗
Cochrane Database Syst Rev. 2011 Aug 10;2011(8):CD002005. doi: 10.1002/14651858.CD002005.pub2.

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