Maruishi M, Kato H, Nawashiro H, Takiguchi H, Shima K, Chigasaki H
Department of Neurosurgery, National Defence Medical College, Tokorozawa, Japan.
Acta Neurochir (Wien). 1993;120(1-2):88-91. doi: 10.1007/BF02001475.
A patient with sinus thrombosis and characteristic magnetic resonance imaging (MRI) findings, who was managed successfully by barbiturate therapy is reported. MRI showed massive high intensity lesions on T2-weighted image which indicated venous cerebral infarction and brain oedema. Intravenous infusion of thiopental decreased increased intracranial pressure (ICP). The effectiveness of barbiturate therapy is discussed in terms of the similarity between this case and experimental sinus thrombosis. Barbiturate therapy should be considered in cases of severe sinus thrombosis with elevated ICP.
报告了一名患有窦血栓形成且有特征性磁共振成像（MRI）表现的患者，该患者通过巴比妥酸盐疗法成功治愈。MRI在T2加权图像上显示大量高强度病变，提示静脉性脑梗死和脑水肿。静脉输注硫喷妥钠降低了升高的颅内压（ICP）。根据该病例与实验性窦血栓形成之间的相似性，讨论了巴比妥酸盐疗法的有效性。对于严重窦血栓形成且ICP升高的病例，应考虑巴比妥酸盐疗法。
