紧急程度中等
-中度严重
在硬脑膜静脉窦中存在血凝块,其从外部和内部脑静脉接收血液。主要危险因素是那些有利于高凝固性的因素,如服用某些药物,怀孕和产褥期,肿瘤,感染和脱水。最常见的症状是头痛,可能伴有神经功能缺损。诊断依据详细的临床病史,完整的体格检查,血液分析和影像学检查。如果对治疗没有反应,则使用抗凝血剂进行基本治疗,很少进行溶栓和/或紧急手术干预。
- José M Ferro, Patrícia Canhão. Etiology, clinical features, and diagnosis of cerebral venous thrombosis. UpToDate. Nov 04, 2015.
- Saposnik G, Barinagarrementeria F, Brown RD Jr, et al. Diagnosis and management of cerebral venous thrombosis: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2011; 42:1158.
- Unpublished data, International study on cerebral vein and dural sinus thrombosis (ISCVT) and Cerebral venous thrombosis Portuguese collaborative study group (VENOPORT) registries.
- Coutinho JM, Zuurbier SM, Aramideh M, Stam J. The incidence of cerebral venous thrombosis: a cross-sectional study. Stroke 2012; 43:3375.
- Coutinho JM, Ferro JM, Canhão P, et al. Cerebral venous and sinus thrombosis in women. Stroke 2009; 40:2356.
- Ferro JM, Canhão P, Bousser MG, et al. Cerebral vein and dural sinus thrombosis in elderly patients. Stroke 2005; 36:1927.
医生 Oscar Garcia-Esquirol
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