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蛛网膜囊肿压迫静脉导致的皮质静脉血栓形成

Cortical Venous Thrombosis Caused by Venous Compression by Arachnoid Cyst.

作者信息

Jones Andrea A, Peacock Dakota J S J, Guest William, Wilson Laura K, Zhou Lily W

机构信息

Division of Neurology, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.

Division of Neurology, Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada.

出版信息

Neurohospitalist. 2024 Oct;14(4):464-465. doi: 10.1177/19418744241262071. Epub 2024 Jun 18.

DOI:10.1177/19418744241262071
PMID:39308464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11412454/
Abstract

CLINICAL PROBLEM

Identification, work-up and treatment approach of isolated cortical venous thrombosis (ICVT) in the absence of traditional risk factors.

CASE PRESENTATION

A 66-year-old previously well male presenting with two episodes of left-sided spreading sensory symptoms, found to be secondary to ICVT from extrinsic compression by an arachnoid cyst.

KEY TEACHING POINTS

Early identification of structural abnormalities causing extrinsic venous compression and ICVT or cerebral venous sinus thrombosis (CVST) is important for alternative treatment options and to avoid unnecessary testing.

摘要

临床问题

无传统危险因素的孤立性皮质静脉血栓形成（ICVT）的识别、检查及治疗方法。

病例介绍

一名66岁既往健康男性，出现两次左侧扩展性感觉症状发作，发现是由蛛网膜囊肿外部压迫导致的ICVT继发症状。

关键教学要点

早期识别导致外部静脉压迫及ICVT或脑静脉窦血栓形成（CVST）的结构异常，对于选择替代治疗方案及避免不必要的检查很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64bc/11412454/b6ccb3cbdb28/10.1177_19418744241262071-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64bc/11412454/b6ccb3cbdb28/10.1177_19418744241262071-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64bc/11412454/b6ccb3cbdb28/10.1177_19418744241262071-fig1.jpg

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本文引用的文献

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The clinical characteristic, diagnosis, treatment, and prognosis of cerebral cortical vein thrombosis: a systematic review of 325 cases.大脑皮质静脉血栓形成的临床特征、诊断、治疗及预后：325例系统评价
J Thromb Thrombolysis. 2021 Apr;51(3):734-740. doi: 10.1007/s11239-020-02229-x.
2
Radiologic diagnosis of cerebral venous thrombosis: pictorial review.脑静脉血栓形成的放射学诊断：图谱综述
AJR Am J Roentgenol. 2007 Dec;189(6 Suppl):S64-75. doi: 10.2214/AJR.07.7015.