脑静脉窦血栓形成

IF 0.1 Q4 MEDICINE, GENERAL & INTERNAL
Cyril Sajan, Varunsingh Saggu, Maitri Mahant, Dilsar Gohel, Foram Bhatt, Elizabeth Jacob
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引用次数: 0

摘要

脑静脉窦血栓形成(CVST)是中风类疾病中相对少见但却很重要的病因,只占中风总数的不到 1%。CVST 在女性和婴儿中更为常见。CVST 患者多见于第三个十年,男女比例为 5:1.5。在发展中国家,尤其是东南亚,CVST 的发病率很高。头痛是 CVST 最常见的临床表现,88%-93% 的患者会出现头痛,其次是癫痫发作(37%-71%)、局灶性神经功能缺损(20%-54%)和孤立性颅内压增高(23%)。头痛呈隐匿性、进行性、非放射性、全脑性、剧烈,伴有眩晕、头晕和目眩,他还主诉恶心和呕吐(10-12 次/天),呕吐物中含有食物和水。患者没有家族病史,但长期咀嚼烟草已有 10 年之久。既往病史显示,他曾因同样的主诉入院治疗,6 个月前还患过右下静脉深静脉血栓。他的磁共振成像报告以及蛋白质 S 和 C 缺乏症报告显示,他患有 CVST。医生给他开了抗凝剂和其他辅助治疗药物,包括止吐药、镇痛药和多种维生素,这些药物能让患者更快更好地康复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cerebral venous sinus thrombosis
Cerebral venous sinus thrombosis (CVST) is a relatively uncommon but important cause of stroke-like disease, accounting for fewer than 1% of all strokes. CVST is more common in females and infants. CVST patients are most common in the third decade, with a female-to-male ratio of 5:1.5. The incidence of CVST has been found to be high in developing countries, particularly in South-East Asia. Headache is the most prevalent clinical sign of CVST, occurring in 88% to 93% of patients, followed by a seizure in 37% to 71%, focal neurological deficit in 20% to 54%, and isolated increased intracranial pressure in 23%.[1] A 34-year-old male came to the tertiary care hospital with complaints of headache, vomiting, and vertigo for 1 day. Headache is insidious, progressive, nonradiating, holocephalic, severe in intensity and associated with vertigo and dizziness, and giddiness, he also complained about nausea and vomiting (10–12 episodes/day) containing food and water. The patient had no family history but has been chronic tobacco chewer for 10 years. Past medical history revealed that he was admitted to the hospital before for the same complaints and he also had right lower vein deep-vein thrombosis 6 months back. His magnetic imaging resonance reports and protein S and C deficiency reports revealed that he was suffering from CVST. He was prescribed with anticoagulants and other supportive treatments that include antiemetic, analgesics, and multivitamins, which cause faster and better recovery of patients.
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来源期刊
Journal of the Scientific Society
Journal of the Scientific Society MEDICINE, GENERAL & INTERNAL-
自引率
33.30%
发文量
19
审稿时长
36 weeks
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