大脑静脉血栓 (CVT) 复杂的结核性脑膜炎
Qian Li1,2, Junfeng Han3, Yiyi Wang4
1Department of Neurology, Tianjin Medical University General Hospital, Tianjin, 300052, China.
BMC neurology
|June 24, 2023
概括
大脑静脉栓塞 (CVT) 是结核性脑膜炎 (TBM) 的罕见并发症. 早期诊断和使用CVT治疗TBM可以改善患者的治疗结果,大多数患者实现功能独立.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 由脑静脉血栓形成并发症的结核性脑膜炎 (TBM) 很少被报告.
- 需要对这种特异性TBM并发症进行进一步的调查.
研究的目的:
- 描述TBM和CVT患者的临床特征,成像发现和结果.
- 突出 CVT 作为 TBM 的潜在并发症.
主要方法:
- 在海河医院对3名TBM和CVT患者的回顾性鉴定.
- 对"结核性脑膜炎"和"脑静脉血栓症"的关键词进行文献综述和分析.
- 病例数据与之前报告的病例相结合.
主要成果:
- 分析了28名TBM和CVT患者 (平均年龄31岁,17名女性).
- 常见的MRI检测结果包括上部斜侧鼻血栓,脑水,心脏病发作和脑膜增强.
- 死亡率为17.9%,75%的患者通过抗结核病和抗凝固药物治疗获得功能独立.
结论:
- 大脑静脉血栓 (CVT) 是结核性脑膜炎 (TBM) 的罕见但显著的并发症.
- 在TBM患者的差异诊断中考虑CVT,这些患者呈现出恶化的临床特征或新的神经症状.
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