怀孕第一季度脑静脉鼻血栓症:一个病例报告
Morolayo Ilori1, Saachi Mittal1, Mousa Eissa1,2
1Wayne State University School of Medicine, 540 E Canfield St, Detroit, MI 48201, United States.
Case reports in women's health
|November 17, 2025
概括
大脑静脉鼻血栓 (CVST) 在怀孕早期很少见. 这一案例突出了计算机断层扫描静脉图 (CTV) 作为严重头痛的孕妇诊断工具,可及时治疗和改善结果.
科学领域:
- 神经学 神经学
- 产科和妇科 产科和妇科
- 放射学 放射学是一门学科.
背景情况:
- 大脑静脉鼻血栓症 (CVST) 是一种罕见但严重的疾病,在怀孕期间发生率增加,特别是在第三个三个月和产后.
- 第一个三个月的CVST非常罕见,在怀孕早期提出诊断挑战.
研究的目的:
- 要报告一个罕见的第一季度CVST病例.
- 强调计算机断层扫描静脉扫描 (CTV) 在怀孕患者的诊断实用性,当MRI是禁忌.
- 要突出一个独特的星座的风险因素CVST在怀孕早期.
主要方法:
- 一个37岁的孕妇在怀孕7周时出现严重头痛,恶心和吐的病例报告.
- 由于MRI的禁忌,计算机断层扫描静脉图 (CTV) 被用于诊断.
- 治疗包括治疗性低分子量肝素和随后的吸扩张和切割.
主要成果:
- 脑电图显示左侧横侧鼻和西格鼻的血栓形成,延伸到左侧内静脉.
- 患者经历了低分子量肝素治疗的临床改善.
- 对血栓友的评估是负的;患者在抗凝药上保持稳定.
结论:
- 第一个三个月的CVST很少见,这种情况强调了在患有严重,不典型的头痛的孕妇中考虑CVST的重要性.
- 在怀孕期间,CTV作为怀疑CVST的MRI的有价值的诊断替代品.
- 早期怀孕,先前子宫内胎儿死亡和已知的血栓友缺失的组合代表了CVST的独特风险概况.
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