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伴有颅内出血的脑静脉窦血栓形成:一例报告

Cerebral Venous Sinus Thrombosis with an Intracranial Haemorrhage: A Case Report.

作者信息

Zahrani Abdullah M Al, Sheikh Reem Al

机构信息

King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Department of Family Medicine, Jeddah, Saudi Arabia.

出版信息

Open Access Maced J Med Sci. 2019 Mar 28;7(6):1029-1031. doi: 10.3889/oamjms.2019.229. eCollection 2019 Mar 30.

Abstract

BACKGROUND

Cerebral venous sinus thrombosis (CVST) is a rare, life-threatening disorder. It has an annual incidence of approximately two to four per million people per year. Nearly 70-80% of all cases of CVST are located in the superior sagittal sinus (SSS). CVST presents a diagnostic challenge due to different presentations.

CASE PRESENTATION

We describe the case of a young pregnant female who presented to the emergency room with an acute headache attributed to multifactorial causes.

CONCLUSION

This report highlights the importance of including CVST in the differential diagnosis when treating a pregnant female with headaches. Although the symptoms of CVST are varied, the most common occlusion is in the SSS. In such cases, the patient may present with signs and symptoms that include headaches, intracranial hypertension and papilloedemas.

摘要

背景

脑静脉窦血栓形成(CVST)是一种罕见的、危及生命的疾病。其年发病率约为每年每百万人中有2至4例。所有CVST病例中近70 - 80%位于上矢状窦(SSS)。由于表现各异,CVST带来了诊断挑战。

病例报告

我们描述了一名年轻孕妇的病例,她因多因素导致的急性头痛就诊于急诊室。

结论

本报告强调了在治疗头痛的孕妇时,将CVST纳入鉴别诊断的重要性。尽管CVST的症状多样,但最常见的阻塞部位是上矢状窦。在这种情况下,患者可能会出现包括头痛、颅内高压和视乳头水肿等体征和症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a3c/6454179/0439e9f98920/OAMJMS-7-1029-g001.jpg

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