上斜侧鼻血栓症呈现为偏头痛与正常的D Dimer头痛
Ridwan Mohamud Ali1, Ömer Metin1, Hassan Adan Ali1
1Department of Emergency Medicine, Somali-Turkey Recep Tayyip Erdoğan Training and Research Hospital, Mogadishu, Somalia.
International medical case reports journal
|December 1, 2025
概括
顶部斜侧血栓 (SSST) 可以模仿偏头痛,即使是正常的D-二次数. 早期的高级成像和抗凝药对于诊断这种罕见的脑静脉鼻血栓症 (CVST) 在高危患者中至关重要.
科学领域:
- 神经学 神经学
- 血管神经学 血管神经学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 上部松性鼻血栓症 (SSST) 是一种罕见的脑静脉鼻血栓症 (CVST).
- SSST可以呈现异常,模仿偏头痛等常见疾病.
- 风险因素包括口服避孕药的联合使用和高血压.
研究的目的:
- 要突出一个SSSTT呈现为偏头痛的病例与正常的D-二次数.
- 强调在不典型的头痛呈现时考虑SSST的重要性.
- 为了强调在疑似病例中,尽管进行正常的初始检测,但需要进行先进的成像.
主要方法:
- 一个49岁的女性患有异常头痛的病例报告.
- 最初的诊断工作包括CT和D-二次体,它们正常.
- 磁共振静脉扫描 (MRV) 用于确定的诊断.
主要成果:
- 患者出现了模仿偏头痛的症状,包括单侧头痛,光恐惧症和部紧张.
- 最初的CT和D-二次体水平正常,延迟了诊断.
- MRV证实了SSST和缺口性心脏病发作,导致迅速的抗凝治疗.
结论:
- 不典型的头痛,即使在正常的初步调查,保证高怀疑SSST.
- 像MRV这样的高级成像对于诊断SSST至关重要.
- 早期的抗凝治疗显著改善了SSST患者的结果.
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