未引起的脑静脉梗塞呈现为视听幻觉:一个案例介绍
Brendan Huang1, Hamzah Ahmad1, Simona Proteasa1
1Department of Neurology, Northwell Health, Manhasset, NY, USA.
Acta neurologica Taiwanica
|January 29, 2026
概括
大脑静脉鼻血栓 (CVST) 是一种罕见的中风,可以出现像幻觉这样的不寻常症状. 早期诊断对于没有先前风险因素的年轻人有效治疗至关重要.
科学领域:
- 神经学 神经学
- 血管神经学 血管神经学
- 神经成像是一种神经成像.
背景情况:
- 大脑静脉鼻血栓 (CVST) 是一种罕见的脑血管疾病,占所有中风的0.5%.
- CVST经常呈现变化,延迟诊断可能导致严重的后果.
- 典型的危险因素包括高凝血状态或家族病史,通常在年轻人中被诊断出来.
研究的目的:
- 报告一个不寻常的CVST病例,在一个年轻的患者身上呈现出视听幻觉.
- 突出考虑CVST在非典型神经症状患者中的重要性.
- 强调在疑似CVST病例中需要及时诊断和治疗.
主要方法:
- 病例报告是一名26岁的男性,以前没有病史.
- 临床表现包括视听幻觉,短暂的运动和头痛.
- 诊断工作包括CT血管造影,CT静脉造影和数字减去血管造影.
主要成果:
- 图像检测显示,右后叶皮层静脉和右西格 sinus 中的非闭塞性血栓.
- 患者经历了幻觉和,最初用抗发作药物治疗.
- 成功的治疗包括静脉注射肝素,随后是口服抗凝药.
结论:
- 这一案例是第一个没有风险因素的年轻患者在CVST后出现幻觉的记录案例.
- 早期CVST诊断需要高度的怀疑指数,即使是异常呈现.
- 及时识别和管理CVST对于防止破坏性神经后果至关重要.
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