以颞动脉炎为表现的感染性海绵窦血栓形成——病例报告
Infectious Cavernous Sinus Thrombosis Presenting as Temporal Arteritis-A Case Report.
作者信息
Sabir Rizwan, Kirkpatrick McNeill, Watts Jonathan, Xu Jindong
机构信息
Guilford Neurologic Research, Greensboro, NC, USA.
Triad Neurohospitalists, Cone Health, Greensboro, NC, USA.
出版信息
Neurohospitalist. 2021 Apr;11(2):148-151. doi: 10.1177/1941874420957842. Epub 2020 Sep 17.
Abstract
Cavernous sinus thrombosis (CST) is rare and can present with various nonspecific symptoms. The high mortality rate of this disease is largely due to delayed recognition and treatment. We report a case who presented with unrelenting headache and was diagnosed with temporal arteritis (TA) but did not respond to steroids. Imaging helped make the CST diagnosis and the patient responded well to treatment. This case reiterates the importance of early recognition and treatment of CST, and reminds physicians to include CST as an essential differential diagnosis of TA.
摘要
海绵窦血栓形成（CST）较为罕见，可表现出各种非特异性症状。该疾病的高死亡率主要归因于诊断和治疗的延误。我们报告一例患者，其表现为持续性头痛，最初被诊断为颞动脉炎（TA），但对类固醇治疗无反应。影像学检查有助于确诊为CST，且患者对治疗反应良好。该病例再次强调了早期识别和治疗CST的重要性，并提醒医生将CST列为TA的重要鉴别诊断之一。
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