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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.

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/c46ff32cdc2a/10.1177_03000605211063278-fig1.jpg

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