DIAGNÓSTICO CLÍNICO Y MANEJO DE LA TROMBOSIS VENOSA CEREBRAL. PRESENTACIÓN DE UN CASO CLÍNICO.

Y. R. F. Molina, Jiroska Tibisay Moran Fernández, F. Hernández
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Abstract

Thrombosis of the dural sinus and/or cerebral veins (CVT) is an uncommon form of stroke, usually affecting young individuals. Affects approximately 5 people per million annually and accounts for 0.5% to 1% of all strokes. We describe the case of a male patient aged 31 with no medical history known, who consulted in the emergency department holocraneal headache and generalized tonic-clonic movements, underwent brain computed tomography and arteriography of 4 vessels, discarding arteriovenous malformations and / or brain aneurysms. Angioresonance requested that reveals images of defect suggestive of superior sagittal sinus thrombosis, so anticoagulation is indicated with Low Molecular Weight Heparin and Warfarin Sodium, obtaining a favorable outcome. Regarding this case, a review of the literature with special emphasis on diagnosis, risk factors and therapeutic controversies.
脑静脉血栓形成的临床诊断与管理。临床病例的介绍。
硬脑膜窦和/或脑静脉血栓形成(CVT)是一种罕见的中风形式,通常影响年轻人。每年每百万人中约有5人受影响,占所有中风的0.5%至1%。我们描述了一例31岁的男性患者,无病史,在急诊科就诊,全身性头痛和全身性强直阵挛运动,接受了脑计算机断层扫描和4条血管的动脉造影术,放弃了动静脉畸形和/或脑动脉瘤。血管磁共振要求显示提示上矢状窦血栓形成的缺损图像,因此建议使用低分子肝素和华法林钠抗凝,获得了良好的效果。关于本病例,回顾文献,特别强调诊断,危险因素和治疗争议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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