Viader F, Bakchine S, Gaudin H, Dhermy D, Masson M, Carbon C
Ann Med Interne (Paris). 1985;136(5):401-4.
A 32 year old obese, diabetic and hypertensive woman presented with signs of increasing intracranial pressure: diplopia, partial lateralised Jacksonian seizures followed by alternating post-ictal hemiplegia. She was also anaemic. Investigation revealed lead poisoning and thrombosis of the superior sagittal sinus. She recovered rapidly with heparin and calcium EDTA therapy, except for persistent optic atrophy due to the papilloedema. The authors discuss the relation of lead encephalopathy and dural sinus thrombosis, and the contribution of each condition to this patient's clinical symptoms.
一名32岁的肥胖、糖尿病且患有高血压的女性出现颅内压升高的症状：复视、部分局灶性杰克逊癫痫发作，随后交替出现发作后偏瘫。她还患有贫血。检查发现铅中毒和上矢状窦血栓形成。经肝素和依地酸钙治疗后，她迅速康复，但因视乳头水肿导致持续性视神经萎缩。作者讨论了铅中毒性脑病与硬脑膜窦血栓形成的关系，以及每种情况对该患者临床症状的影响。
