Mattes W, Dörstelmann D
Dtsch Med Wochenschr. 1981 Jun 5;106(23):744-7. doi: 10.1055/s-2008-1070393.
In a 38-year-old patient who had taken oral contraceptives for several years partial thrombosis of the superior sagittal sinus and cortical veins occurred. Progress could be observed with the computer assisted tomography (CAT). CAT showed multiple localised intracerebral haemorrhages fronto-occipitally and penetrating deep into the white matter. In view of the severity of morphological changes the ability for regression of such haemorrhages is surprising. This equally applies to subsequent restitution without substantial visible defects in cerebral parenchyma following treatment with heparin. Among the presentations of sinus and central venous thromboses in CAT, the empty triangle or delta sign and the cord sign should be mentioned.
一名服用口服避孕药数年的38岁患者发生了上矢状窦和皮质静脉部分血栓形成。通过计算机断层扫描(CAT)可观察到病情进展。CAT显示额枕部有多处局灶性脑内出血,并深入白质。鉴于形态学改变的严重程度,此类出血的消退能力令人惊讶。这同样适用于肝素治疗后在脑实质内无明显可见缺损的后续恢复情况。在CAT显示的窦和中心静脉血栓形成表现中,应提及空三角或三角征以及索带征。