临床神经病学杂志
臨床神經病學雜誌
림상신경병학잡지
Journal of Clinical Neurology
2015年
5期
380-381
,共2页
颅内静脉窦血栓形成%MRI%MRV%诊断%治疗
顱內靜脈竇血栓形成%MRI%MRV%診斷%治療
로내정맥두혈전형성%MRI%MRV%진단%치료
cerebral venous sinus thrombosis%MRI%MRV%diagnosis%treatment
目的 探讨早期妊娠合并颅内静脉窦血栓( CVST)的诊断与治疗. 方法 对4例早期妊娠合并CVST患者的临床资料进行回顾性分析. 结果 本组4例早期妊娠合并CVST患者的年龄为22~28岁.临床表现均为头痛,1例伴有癫痫发作. 查体可见视乳头水肿. 本组患者头颅MRI和MRV示上矢状窦血栓1例,上矢状窦和左侧横窦血栓1例,左侧横窦和乙状窦血栓2例. 本组患者均采用低分子肝素抗凝治疗,1例联合应用血管内介入溶栓治疗. 治疗后,2例治愈,2例好转. 结论 早期妊娠合并CVST易误诊,MRI和MRV检查有助于诊断,主要治疗方法为低分子肝素抗凝和血管内介入溶栓治疗.
目的 探討早期妊娠閤併顱內靜脈竇血栓( CVST)的診斷與治療. 方法 對4例早期妊娠閤併CVST患者的臨床資料進行迴顧性分析. 結果 本組4例早期妊娠閤併CVST患者的年齡為22~28歲.臨床錶現均為頭痛,1例伴有癲癇髮作. 查體可見視乳頭水腫. 本組患者頭顱MRI和MRV示上矢狀竇血栓1例,上矢狀竇和左側橫竇血栓1例,左側橫竇和乙狀竇血栓2例. 本組患者均採用低分子肝素抗凝治療,1例聯閤應用血管內介入溶栓治療. 治療後,2例治愈,2例好轉. 結論 早期妊娠閤併CVST易誤診,MRI和MRV檢查有助于診斷,主要治療方法為低分子肝素抗凝和血管內介入溶栓治療.
목적 탐토조기임신합병로내정맥두혈전( CVST)적진단여치료. 방법 대4례조기임신합병CVST환자적림상자료진행회고성분석. 결과 본조4례조기임신합병CVST환자적년령위22~28세.림상표현균위두통,1례반유전간발작. 사체가견시유두수종. 본조환자두로MRI화MRV시상시상두혈전1례,상시상두화좌측횡두혈전1례,좌측횡두화을상두혈전2례. 본조환자균채용저분자간소항응치료,1례연합응용혈관내개입용전치료. 치료후,2례치유,2례호전. 결론 조기임신합병CVST역오진,MRI화MRV검사유조우진단,주요치료방법위저분자간소항응화혈관내개입용전치료.
Objective To investigate the diagnosis and treatment of cerebral venous sinus thrombosis ( CVST) in early pregnancy.Methods The clinical data of 4 patients with CVST in early pregnancy were analyzed retrospectively.Results The age of the 4 patients with CVST during early pregnancy was 22 -28 years old.The clinical symptom was headache, and 1 case with seizure.The clinical sign was papilledema.The MRI and MRV examination showed that the superior sagittal sinus thrombosis in 1 case, the superior sagittal sinus and left transverse sinus thrombosis in 1 case, and the left transverse sinus and sigmoid sinus thrombosis in 2 cases.The patients were received anticoagulant therapy with low molecular weight heparin, 1 case was added endovascular thrombolytic therapy.After therapy, 2 cases were cured, and 2 cases improved.Conclusions CVST in early pregnancy is easy to be misdiagnosed.MRI and MRV are helpful to diagnose it.The mainly therapies are endovascular thrombolysis and anticoagulation therapy with low molecular weight heparin.
