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伴有出血性梗死的脑静脉窦血栓形成:在一名无视风险的男性患者中的罕见表现。

Cerebral venous sinus thrombosis with hemorrhagic infarct: A rare presentation in a risk-defying male patient.

作者信息

Katwal Shailendra, Suwal Sundar, Lamichhane Suman, Bhusal Amrit, Yogi Tek Nath

机构信息

Department of Radiology, Dadeldhura Subregional Hospital, Dadeldhura, Sudurpaschim, Nepal.

Department of Radiology, Maharajgunj Medical College, Kathmandu, Nepal.

出版信息

Radiol Case Rep. 2023 Oct 28;19(1):153-157. doi: 10.1016/j.radcr.2023.09.096. eCollection 2024 Jan.

Abstract

Cerebral venous sinus thrombosis (CVST) is a rare but critical cerebrovascular condition characterized by clot formation in cerebral veins or sinuses. We present a case of a 30-year-old male with CVST, an atypical presentation of right-sided weakness and sudden loss of consciousness. While CVST typically manifests as severe headaches and neurological deficits, our patient's unique symptoms pose diagnostic challenges. Advanced imaging techniques, including MRI with venography, played a pivotal role in confirming the diagnosis. Treatment involved anticoagulation therapy and resulted in a favorable outcome. This case highlights the importance of considering CVST in patients with unusual neurological symptoms and the crucial role of early diagnosis and intervention. Advances in diagnostic modalities and treatment options have significantly improved outcomes in CVST patients, emphasizing the need for timely recognition and management.

摘要

脑静脉窦血栓形成(CVST)是一种罕见但严重的脑血管疾病,其特征是脑静脉或静脉窦中形成血栓。我们报告一例30岁男性CVST患者,表现为非典型的右侧肢体无力和突然意识丧失。虽然CVST通常表现为严重头痛和神经功能缺损,但我们患者独特的症状带来了诊断挑战。先进的成像技术,包括磁共振静脉血管造影成像(MRI),在确诊中起了关键作用。治疗采用抗凝治疗,结果良好。该病例强调了对于有异常神经症状的患者考虑CVST的重要性以及早期诊断和干预的关键作用。诊断方法和治疗选择的进展显著改善了CVST患者的预后,强调了及时识别和管理的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ea/10632245/065e52a8e729/gr1.jpg

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