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严重脱水引发的脑静脉窦血栓形成

Cerebral Venous Sinus Thrombosis Triggered by Severe Dehydration.

作者信息

Wadhwani Shruti, Wadhwani Nikita, Elias Sameh

机构信息

Internal Medicine, Hackensack Meridian Health Palisades Medical Center, North Bergen, USA.

出版信息

Cureus. 2024 Nov 28;16(11):e74654. doi: 10.7759/cureus.74654. eCollection 2024 Nov.

DOI:10.7759/cureus.74654
PMID:39735097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11681608/
Abstract

Cerebral venous sinus thrombosis (CVST) is the causative factor in a small proportion of strokes. It primarily affects individuals aged less than 55 years, with up to two-thirds of cases affecting females. It can be precipitated by a myriad of transient or permanent risk factors that result in a prothrombotic state. Diagnosis of CVST requires a high index of clinical suspicion as the presenting symptoms are often vague and include headaches, visual deficits, seizures, etc. Computed tomography or magnetic resonance venography are sensitive imaging diagnostic modalities. The majority of patients have a favorable prognosis. It is important to pursue thrombophilia work-up after the resolution of an acute episode as some cases are secondary to an underlying malignancy.

摘要

脑静脉窦血栓形成(CVST)是一小部分中风的致病因素。它主要影响年龄小于55岁的个体,高达三分之二的病例为女性。它可由导致血栓形成前状态的众多短暂或永久性危险因素引发。CVST的诊断需要高度的临床怀疑指数,因为其表现症状往往模糊,包括头痛、视力缺陷、癫痫发作等。计算机断层扫描或磁共振静脉造影是敏感的影像学诊断方法。大多数患者预后良好。在急性发作缓解后进行血栓形成倾向检查很重要,因为有些病例继发于潜在的恶性肿瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55e4/11681608/f819a5e85e3b/cureus-0016-00000074654-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55e4/11681608/ad11fc327a27/cureus-0016-00000074654-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55e4/11681608/21220be27631/cureus-0016-00000074654-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55e4/11681608/f819a5e85e3b/cureus-0016-00000074654-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55e4/11681608/ad11fc327a27/cureus-0016-00000074654-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55e4/11681608/21220be27631/cureus-0016-00000074654-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55e4/11681608/f819a5e85e3b/cureus-0016-00000074654-i03.jpg

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Study of Rivaroxaban for Cerebral Venous Thrombosis: A Randomized Controlled Feasibility Trial Comparing Anticoagulation With Rivaroxaban to Standard-of-Care in Symptomatic Cerebral Venous Thrombosis.利伐沙班治疗颅内静脉血栓形成的研究:比较利伐沙班抗凝与标准治疗对症状性颅内静脉血栓形成的随机对照可行性试验。
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