Diagnosis and treatment of cerebral venous sinus thrombosis in early pregnancy ( report of 4 cases)
- VernacularTitle:早期妊娠合并颅内静脉窦血栓的诊断与治疗(附4例报告)
- Author:
Ying HAN
;
Quanmin NIE
;
Yongming QIU
- Publication Type:Journal Article
- Keywords:
cerebral venous sinus thrombosis;
MRI;
MRV;
diagnosis;
treatment
- From:
Journal of Clinical Neurology
2015;28(5):380-381
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the diagnosis and treatment of cerebral venous sinus thrombosis ( CVST) in early pregnancy.Methods The clinical data of 4 patients with CVST in early pregnancy were analyzed retrospectively.Results The age of the 4 patients with CVST during early pregnancy was 22 -28 years old.The clinical symptom was headache, and 1 case with seizure.The clinical sign was papilledema.The MRI and MRV examination showed that the superior sagittal sinus thrombosis in 1 case, the superior sagittal sinus and left transverse sinus thrombosis in 1 case, and the left transverse sinus and sigmoid sinus thrombosis in 2 cases.The patients were received anticoagulant therapy with low molecular weight heparin, 1 case was added endovascular thrombolytic therapy.After therapy, 2 cases were cured, and 2 cases improved.Conclusions CVST in early pregnancy is easy to be misdiagnosed.MRI and MRV are helpful to diagnose it.The mainly therapies are endovascular thrombolysis and anticoagulation therapy with low molecular weight heparin.
