İlgen Ufuk, Turan Sezin, Emmungil Hakan
Department of Rheumatology, Trakya University School of Medicine, Edirne, Turkey.
Reumatologia. 2018;56(6):406-408. doi: 10.5114/reum.2018.80720. Epub 2018 Dec 23.
Antiphospholipid syndrome is a cause of arterial and venous thrombosis especially in the young adult population. Although dural sinus thrombosis is a relatively rare complication of antiphospholipid syndrome, it may be a cause of morbidity and mortality. Extension of thrombosis and involvement of deep venous structures are poor prognostic factors in patients with dural sinus thrombosis, but the rate of near-complete recanalization is not known in antiphospholipid syndrome-related dural sinus thrombosis. Herein, a case of antiphospholipid syndrome with multiple dural sinus, deep cerebral vein and internal jugular vein thromboses is presented with demonstrative imaging findings and near-complete recanalization after warfarin.
抗磷脂综合征是动脉和静脉血栓形成的一个原因,尤其在年轻成人中。尽管硬脑膜窦血栓形成是抗磷脂综合征相对罕见的并发症,但它可能是发病和死亡的一个原因。血栓扩展和深部静脉结构受累是硬脑膜窦血栓形成患者的不良预后因素,但在抗磷脂综合征相关的硬脑膜窦血栓形成中,近乎完全再通的发生率尚不清楚。在此,我们报告一例抗磷脂综合征患者,其出现多处硬脑膜窦、大脑深部静脉和颈内静脉血栓形成,并伴有影像学表现及华法林治疗后近乎完全再通。