伴有隐匿情况的脑静脉血栓形成
Cerebral venous thrombosis with a catch.
作者信息
Lavadi Raj Swaroop, Sandeep B V, Banga Manpreet Singh, Halhalli Sangamesh, Kishan Anantha
机构信息
Department of Neurosurgery, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India.
出版信息
Surg Neurol Int. 2021 Nov 30;12:590. doi: 10.25259/SNI_1021_2021. eCollection 2021.
BACKGROUND
Cerebral venous thrombosis (CVT) is a rare entity typically occurring in patients in hypercoagulable states. They can also occur in cases of trauma. The symptoms are nonspecific.
CASE DESCRIPTION
A 28-year-old male presented to the emergency department with a head injury. During the necessary imaging, it was found that he had a depressed skull fracture and other signs of traumatic brain injury. Unbeknownst to the patient and the patient party, it was also revealed that the patient only had one kidney. Wound debridement and excision of the depressed fracture were performed. A postoperative MRI revealed that the patient had CVT.
CONCLUSION
There should be a high index of suspicion for CVT in case of traumatic head injuries. The surgeon should plan management according to the patient's comorbidities.
背景
脑静脉血栓形成（CVT）是一种罕见的病症，通常发生在处于高凝状态的患者中。也可发生于创伤病例。其症状不具有特异性。
病例描述
一名28岁男性因头部受伤被送至急诊科。在进行必要的影像学检查时，发现他有颅骨凹陷性骨折及其他创伤性脑损伤迹象。患者及其家属并不知晓的是，检查还发现该患者仅有一个肾脏。进行了伤口清创及凹陷骨折切除术。术后磁共振成像显示该患者患有脑静脉血栓形成。
结论
对于创伤性头部损伤患者，应高度怀疑脑静脉血栓形成。外科医生应根据患者的合并症制定治疗方案。
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