Al-Jundi Mohammad, Al-Shbool Ghassan, Muhailan Mohamad, Aljundi Moutasem, Woods Christian J
Department of Medicine, MedStar Georgetown University Hospital MedStar Washington Hospital Center Internal Medicine Residency Program, Washington, DC, USA.
Department of Radiology, MedStar Georgetown University Hospital, Washington, DC, USA.
BMJ Case Rep. 2019 Apr 29;12(4):e228484. doi: 10.1136/bcr-2018-228484.
Isolated cortical venous thrombosis (ICVT) occurring in the absence of dural venous thrombosis, constitutes about 2%-5% of all cerebral venous thrombosis. Its vague, non-specific presentation makes it a difficult and challenging diagnosis that needs an extensive workup especially in young patients. Outcome and prognosis depend mainly on early diagnosis and treatment. Here we discuss the clinical presentation, diagnosis and the treatment of a young woman diagnosed with ICVT with acute ischaemic venous stroke, in the setting of eclampsia and family history of coagulation disease.
孤立性皮质静脉血栓形成（ICVT）在无硬脑膜静脉血栓形成的情况下发生，约占所有脑静脉血栓形成的2%-5%。其表现模糊、不具特异性，这使其成为一种难以诊断且具有挑战性的疾病，尤其在年轻患者中需要进行全面检查。结局和预后主要取决于早期诊断和治疗。在此，我们讨论一名诊断为ICVT并伴有急性缺血性静脉性卒中的年轻女性的临床表现、诊断及治疗，该患者处于子痫前期且有凝血疾病家族史。
