Department of Radiology, College of Medicine, Taibah University, Madinah Al-Munawarah, Kingdom of Saudi Arabia.
Neurosciences (Riyadh). 2020 Jul;25(3):210-213. doi: 10.17712/nsj.2020.3.20200003.
Superior sagittal sinus thrombosis is an uncommon phenomenon that could occur in patients with a risk for thrombosis. It has been reported after spinal anesthesia with persistent cerebrospinal fluid leak. The current case is a young 29-year-old man who was complaining of persistent headache after spinal anesthesia for varicocelectomy and a new onset of blurred vision with a sign of papilledema. The diagnosis was confirmed with magnetic resonance imaging and proved to be superior sagittal sinus thrombosis. He was started on anticoagulant therapy and showed gradual improvement. No previous case has been reported in the literature in a patient without prothrombotic status risk.
上矢状窦血栓形成是一种不常见的现象，可发生于有血栓形成风险的患者中。有报道称，其在脊髓麻醉后并发持续性脑脊液漏时发生。本病例为一名 29 岁年轻男性，因精索静脉曲张行脊髓麻醉后持续性头痛，且新出现视物模糊伴视乳头水肿。诊断通过磁共振成像（MRI）确认，证实为上矢状窦血栓形成。他开始接受抗凝治疗，病情逐渐改善。在无血栓形成倾向风险的患者中，文献中尚无此类病例报道。
