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横窦狭窄作为慢性头痛的一个未被充分诊断的原因:一例报告

Transverse Sinus Stenosis as an Underdiagnosed Cause of Chronic Headache: A Case Report.

作者信息

Handal Marina, Tourangeau-Young RaeAnn, Biglione Alejandro

机构信息

Medicine, Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, USA.

Internal Medicine, Wellington Regional Medical Center, Wellington, USA.

出版信息

Cureus. 2024 Aug 19;16(8):e67206. doi: 10.7759/cureus.67206. eCollection 2024 Aug.

DOI:10.7759/cureus.67206
PMID:39295693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11410061/
Abstract

Transverse sinus stenosis (TSS) is an abnormality in the cerebral venous system in which the narrowing of the transverse sinus of the brain leads to obstructed cerebral venous outflow. It is an infrequent, incidental radiological finding. However, it is not uncommon among patients with chronic headaches of unclear cause, particularly those that remain unexplained after initial evaluation or those that are refractory to medical treatment. Its diagnosis frequently eludes the initial workup, and a high degree of suspicion should be maintained since its identification can lead to potentially curative treatment. This report describes the case of a 36-year-old female with a history of chronic headache who was found to have TSS. This paper discusses its etiology, pathophysiology, clinical presentation, radiological findings, and management.

摘要

横窦狭窄(TSS)是一种脑静脉系统异常,其中脑横窦变窄导致脑静脉流出受阻。它是一种罕见的偶然影像学发现。然而,在病因不明的慢性头痛患者中并不少见,尤其是那些在初步评估后仍无法解释或对药物治疗无效的患者。其诊断常常在初始检查中被遗漏,由于其识别可能导致潜在的治愈性治疗,因此应保持高度怀疑。本报告描述了一名有慢性头痛病史的36岁女性被发现患有横窦狭窄的病例。本文讨论了其病因、病理生理学、临床表现、影像学表现及治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba12/11410061/78b3108ca3e0/cureus-0016-00000067206-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba12/11410061/78b3108ca3e0/cureus-0016-00000067206-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba12/11410061/78b3108ca3e0/cureus-0016-00000067206-i01.jpg

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本文引用的文献

1
Documentation of International Classification of Headache Disorders Criteria in Patient Medical Records: A Retrospective Cohort Analysis.患者病历中头痛疾病国际分类标准的记录:一项回顾性队列分析。
Cureus. 2024 Jan 13;16(1):e52209. doi: 10.7759/cureus.52209. eCollection 2024 Jan.
2
Debate: differences and similarities between tension-type headache and migraine.争议:紧张型头痛与偏头痛的差异与相似之处。
J Headache Pain. 2023 Jul 21;24(1):92. doi: 10.1186/s10194-023-01614-0.
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Secondary headaches - red and green flags and their significance for diagnostics.
继发性头痛——警示信号及其在诊断中的意义。
eNeurologicalSci. 2023 Jun 30;32:100473. doi: 10.1016/j.ensci.2023.100473. eCollection 2023 Sep.
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Pearls & Oy-sters: Cerebral Venous Congestion Associated With Cognitive Decline Treated by Jugular Release.珍珠与牡蛎:颈静脉释放术治疗与认知能力下降相关的大脑静脉淤血
Neurology. 2022 Sep 27;99(13):577-580. doi: 10.1212/WNL.0000000000201037. Epub 2022 Jul 18.
5
The global prevalence of headache: an update, with analysis of the influences of methodological factors on prevalence estimates.全球头痛患病率:更新报告,并分析方法学因素对患病率估计的影响。
J Headache Pain. 2022 Apr 12;23(1):34. doi: 10.1186/s10194-022-01402-2.
6
Advances in the Understanding of the Complex Role of Venous Sinus Stenosis in Idiopathic Intracranial Hypertension.静脉窦狭窄在特发性颅内高压中的复杂作用的研究进展。
J Magn Reson Imaging. 2022 Sep;56(3):645-654. doi: 10.1002/jmri.28177. Epub 2022 Mar 31.
7
Transverse Sinus Stenosis in Refractory Chronic Headache Patients: An Observational Study.难治性慢性头痛患者的横窦狭窄:一项观察性研究。
Front Neurol. 2019 Dec 12;10:1287. doi: 10.3389/fneur.2019.01287. eCollection 2019.
8
Intracranial Venous Sinus Stenting: A Review of Idiopathic Intracranial Hypertension and Expanding Indications.颅内静脉窦支架置入术:特发性颅内高压及不断扩大的适应证综述
Cureus. 2019 Feb 4;11(2):e4008. doi: 10.7759/cureus.4008.
9
Endovascular Treatment of Idiopathic Intracranial Hypertension with Stenting of the Transverse Sinus Stenosis.经血管内治疗特发性颅内高压伴横窦狭窄支架置入术
Neurointervention. 2018 Sep;13(2):138-143. doi: 10.5469/neuroint.2018.00990. Epub 2018 Oct 1.
10
Transverse venous sinus stenting for idiopathic intracranial hypertension: Safety and feasibility.横窦支架置入术治疗特发性颅内高压:安全性与可行性
Neuroradiol J. 2018 Oct;31(5):513-517. doi: 10.1177/1971400918782320. Epub 2018 Jun 8.