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一名13岁女性因从高尔夫球车跌落继发创伤的病例报告,发现有脑实质内及蛛网膜下腔出血伴横窦血栓形成。

Case Report of a 13-Year-Old Female With Trauma Secondary to a Fall From a Golf Cart, Found to Have Intraparenchymal & Subarachnoid Hemorrhages With Transverse Sinus Thrombosis.

作者信息

Donato Umberto M, Donato Sebastian, Galligan Andrew

机构信息

Pediatric Oncology, Moffitt Cancer Center, Tampa, USA.

Pediatric Oncology, Tampa General Hospital, Tampa, USA.

出版信息

Cureus. 2022 Jul 25;14(7):e27251. doi: 10.7759/cureus.27251. eCollection 2022 Jul.

DOI:10.7759/cureus.27251
PMID:36039220
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9400923/
Abstract

Cerebral venous sinus thrombosis (CVST) is the occlusion of cerebral veins of the brain secondary to blood clot formation. These can result in increased intracranial pressure, cerebral edema, and may even have fatal consequences such as a stroke. Despite CVSTs being considered a rare pathology, these are said to have an increased incidence in the pediatric population. These individuals with CVST are often asymptomatic causing physicians to often overlook and delay possibly life-saving interventions. The current literature is lacking on CVST examples in the "older" range of the pediatric population, specifically teenagers. Here we present the case of a 13-year-old female with trauma secondary to a fall from a golf cart, who was found to have intraparenchymal and subarachnoid hemorrhages with transverse sinus thrombosis.

摘要

脑静脉窦血栓形成(CVST)是继发于血凝块形成的脑静脉闭塞。这可导致颅内压升高、脑水肿,甚至可能产生致命后果,如中风。尽管CVST被认为是一种罕见的病理情况,但据说在儿科人群中的发病率有所增加。这些患有CVST的个体通常没有症状,导致医生常常忽视并延误可能挽救生命的干预措施。目前的文献缺乏儿科人群“较大”年龄段,特别是青少年的CVST病例。在此,我们报告一例13岁女性病例,该患者因从高尔夫球车跌落而受伤,被发现患有脑实质内和蛛网膜下腔出血以及横窦血栓形成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/767c/9400923/b1f2bf92ae54/cureus-0014-00000027251-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/767c/9400923/005d1e370c8c/cureus-0014-00000027251-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/767c/9400923/d94f45a5f3e0/cureus-0014-00000027251-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/767c/9400923/b1f2bf92ae54/cureus-0014-00000027251-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/767c/9400923/005d1e370c8c/cureus-0014-00000027251-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/767c/9400923/d94f45a5f3e0/cureus-0014-00000027251-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/767c/9400923/b1f2bf92ae54/cureus-0014-00000027251-i03.jpg

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本文引用的文献

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Clinical Characteristics and Management of Cerebral Venous Sinus Thrombosis in Patients with Essential Thrombocythemia.原发性血小板增多症患者脑静脉窦血栓形成的临床特征与管理
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小儿脑静脉窦血栓形成的临床特征与预后:中国30例病例分析
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