大脑静脉鼻血栓形成,呈现为急性中风综合征
Kevin Rivera1, Nicholas Harvey1, David Capote1
1Internal Medicine, Mount Carmel Health System, Columbus, USA.
Cureus
|February 18, 2026
概括
大脑静脉鼻血栓 (CVST) 可以模仿中风症状,需要早期识别. 这一案例突显了CVST诊断的广泛血栓形成,尽管血栓性试验呈阴性,强调抗凝药作为主要治疗.
科学领域:
- 神经学 神经学
- 血管医学 血管医学
- 放射学 放射学是一门学科.
背景情况:
- 大脑静脉鼻血栓 (CVST) 是不常见的中风原因.
- CVST表现可以模仿动脉缺血事件.
- 最初的非对比头部CT在CVST中可能看起来正常.
研究的目的:
- 报告一个广泛的CVST病例.
- 突出诊断挑战和CVST的管理.
- 强调在特定的临床场景中考虑CVST.
主要方法:
- 一个63岁的男性头痛,部疼痛和焦点缺陷的病例报告.
- 初始计算机断层扫描 (CT) 和CT静脉扫描.
- 磁共振成像 (MRI) 具有对比度.
主要成果:
- CT 静脉扫描显示了广泛的持续静脉鼻血栓形成.
- 磁力共振成像证实了显著的上部斜和横侧鼻干涉.
- 神经学缺陷通过抗凝药迅速解决;血栓友的评估是负的.
结论:
- 考虑在头痛前发生焦点神经缺陷的患者中使用CVST,即使初始中风成像没有显示.
- 广泛的CVST可以在没有可识别的血栓友的情况下发生.
- 抗凝药是主要治疗方法;内血管治疗决策应以临床过程和解剖学为指导.
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