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球囊血管成形术成功治疗脑静脉窦血栓形成:一例报告。

Successful treatment of cerebral venous sinus thrombosis by balloon venoplasty: a case report.

机构信息

Department of Radiology, The First Hospital of Jilin University, Changchun, Jilin, China.

Department of Otolaryngology, The First Hospital of Jilin University, Changchun, Jilin, China.

出版信息

J Int Med Res. 2021 Dec;49(12):3000605211063278. doi: 10.1177/03000605211063278.

DOI:10.1177/03000605211063278
PMID:34894829
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8669884/
Abstract

Cerebral venous sinus thrombosis is a special cerebrovascular disease affecting young adult and middle-aged people. The clinical manifestations of cerebral venous sinus thrombosis are diverse and nonspecific; thus, imaging plays an important role in early diagnosis. Anticoagulation with heparin is the preferred treatment for cerebral venous sinus thrombosis. Endovascular treatment is also being increasingly used to achieve recanalization of the cerebral venous sinus. We herein describe a woman in her early 50s who was diagnosed with cerebral venous sinus thrombosis for which anticoagulation with heparin was ineffective. To improve her symptoms and prognosis, we selected balloon venoplasty to treat the right sigmoid sinus thrombosis. Her condition subsequently improved, and no recurrence was observed after several follow-ups.

摘要

脑静脉窦血栓形成是一种特殊的脑血管疾病,影响青年和中年人群。脑静脉窦血栓形成的临床表现多种多样且不具特异性;因此,影像学在早期诊断中发挥着重要作用。肝素抗凝治疗是脑静脉窦血栓形成的首选治疗方法。血管内治疗也越来越多地用于实现脑静脉窦再通。我们在此描述了一位 50 岁出头的女性,她被诊断为脑静脉窦血栓形成,肝素抗凝治疗无效。为了改善她的症状和预后,我们选择球囊血管成形术治疗右侧乙状窦血栓形成。她的病情随后得到改善,经过几次随访后未再复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e64/8669884/b7998990a0d6/10.1177_03000605211063278-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e64/8669884/c46ff32cdc2a/10.1177_03000605211063278-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e64/8669884/b7998990a0d6/10.1177_03000605211063278-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e64/8669884/c46ff32cdc2a/10.1177_03000605211063278-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e64/8669884/b7998990a0d6/10.1177_03000605211063278-fig2.jpg

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本文引用的文献

1
Cerebral Venous Thrombosis: A Comprehensive Review.脑静脉血栓形成:全面综述。
Eur Neurol. 2020;83(4):369-379. doi: 10.1159/000509802. Epub 2020 Sep 2.
2
Effect of Endovascular Treatment With Medical Management vs Standard Care on Severe Cerebral Venous Thrombosis: The TO-ACT Randomized Clinical Trial.血管内治疗联合药物治疗与标准治疗对重症颅内静脉血栓形成的影响:TO-ACT 随机临床试验。
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Role of Decompressive Craniectomy in the Management of Cerebral Venous Sinus Thrombosis.
减压性颅骨切除术在脑静脉窦血栓形成治疗中的作用
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Predictors of successful endovascular treatment in severe cerebral venous sinus thrombosis.影响重症脑静脉窦血栓形成血管内治疗成功的因素。
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Cerebral Sinus Venous Thrombosis in the Setting of Acute Mastoiditis.急性乳突炎背景下的脑静脉窦血栓形成
Cureus. 2019 Feb 6;11(2):e4023. doi: 10.7759/cureus.4023.
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Efficacy of stenting in patients with cerebral venous sinus thrombosis-related cerebral venous sinus stenosis.支架置入治疗与脑静脉窦血栓形成相关的脑静脉窦狭窄的疗效。
J Neurointerv Surg. 2019 Mar;11(3):307-312. doi: 10.1136/neurintsurg-2018-014328. Epub 2018 Nov 2.
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Norethisterone enanthate-induced cerebral venous sinus thrombosis (CVST).庚酸炔诺酮诱发的大脑静脉窦血栓形成(CVST)。
BMJ Case Rep. 2017 Nov 14;2017:bcr-2017-222418. doi: 10.1136/bcr-2017-222418.
8
New Developments in the Pathophysiology, Workup, and Diagnosis of Dural Venous Sinus Thrombosis (DVST) and a Systematic Review of Endovascular Treatments.硬脑膜静脉窦血栓形成(DVST)的病理生理学、检查及诊断的新进展以及血管内治疗的系统评价
Aging Dis. 2017 Apr 1;8(2):136-148. doi: 10.14336/AD.2016.0915. eCollection 2017 Apr.
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