Kumar Harwindar, Ali Sundas, Kumar Jasvindar, Anwar Muhammad Nabeel, Singh Romil
Neurology, Lady Reading Hospital, Peshawar, PAK.
Internal Medicine, Holy Family Hospital, Rawalpindi Medical University, Rawalpindi, PAK.
Cureus. 2021 Feb 22;13(2):e13497. doi: 10.7759/cureus.13497.
Dural venous sinus thrombosis (DVST) leading to subarachnoid hemorrhage (SAH) is rarely reported in the literature. A 25-year-old primigravida with a history of pre-eclampsia presented with sudden onset headache, confusion, and loss of consciousness. Examination revealed bilateral equivocal planters and bilateral papillary edema. MRI and magnetic resonance venography (MRV) showed the right sinus thrombosis with elements of SAH. The coagulation profile was unremarkable. She was commenced on low molecular weight heparin with periodic monitoring of her Glasgow Coma Scale (GCS). Her condition started improving gradually. Repeat MRI and MRV after 10 days showed resolution of thrombosis and SAH. She was discharged with follow-up, and she was doing well on her recent visit two weeks later.
硬脑膜静脉窦血栓形成（DVST）导致蛛网膜下腔出血（SAH）在文献中鲜有报道。一名有子痫前期病史的25岁初产妇，出现突发头痛、意识模糊和意识丧失。检查发现双侧巴宾斯基征可疑阳性及双侧视乳头水肿。磁共振成像（MRI）和磁共振静脉血管造影（MRV）显示右侧静脉窦血栓形成并伴有蛛网膜下腔出血迹象。凝血指标无异常。她开始接受低分子量肝素治疗，并定期监测格拉斯哥昏迷量表（GCS）。她的病情逐渐好转。10天后复查MRI和MRV显示血栓形成和蛛网膜下腔出血消失。她出院并接受随访，两周后的最近一次就诊时情况良好。
