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大脑静脉血栓形成:单方面内静脉结的意外后果
Areej Moideen1, Smriti Panda2, Jasmine Parihar3
1Otorhinolaryngology, All India Institute of Medical Sciences, New Delhi, Delhi, India.
BMJ case reports
|October 15, 2024
概括
逆行性脑静脉血栓塞 (CVT) 是内静脉 (IJV) 绑定后的一种罕见并发症. 这一案例凸显了癌症手术中IJV牺牲如何导致CVT和增加内压力 (ICP).
科学领域:
- 神经外科 神经外科
- 在瘤学瘤学.
- 血管外科 血管外科
背景情况:
- 逆行性脑静脉血栓形成 (CVT) 是一种罕见但严重的并发症.
- 内静脉 (IJV) 绑定有时在头部和部癌症手术中是必要的.
- 反侧静脉系统的补偿能力可能会被压倒.
研究的目的:
- 在患有晚期舌头癌症的患者中,报告一例IJV绑定后的CVT病例.
- 在这种情况下,阐明内压升高 (ICP) 的机制.
- 根据当前的证据,讨论如何处理此类案件.
主要方法:
- 一名30多岁的男性患者的病例报告,患有局部晚期舌癌.
- 经历了近乎完全的光切除术和双边部剖析,并牺牲了右关节.
- 使用磁共振静脉学 (MRV) 进行CVT的术后诊断.
主要成果:
- 患者在术后出现了升高的ICP症状.
- MRV 证实了 CVT 涉及西格体和横侧鼻.
- 反侧脑静脉系统无法充分补偿受阻的右侧脑静脉外流.
结论:
- IJV绑定,即使是单方面,也可以导致CVT和随后升高的ICP.
- 了解静脉排水通路对于预测和管理并发症至关重要.
- 及时诊断和适当的治疗对于有利的结果至关重要.
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