病毒性脑膜脑炎继发颅内静脉窦血栓形成后脑出血一例报道  

Cerebral Hemorrhage after Cerebral Venous Sinus Thrombosiss Secondary to Viral Meningoencephalitis:a Case Report

作　　者：周珂珂 蒋玙姝 贾亚珍 金珂 秦灵芝 马伟锋 张涛 张梦歌 李玮 ZHOU Keke;JIANG Yushu;JIA Yazhen;JIN Ke;QIN Lingzhi;MA Weifeng;ZHANG Tao;ZHANG Mengge;LI Wei(Department of Neurology,Zhengzhou University People's Hospital/Henan Provincial People's Hospital,Zhengzhou 450003,China)

机构地区：[1]郑州大学人民医院河南省人民医院神经内科,河南省郑州市450003

出　　处：《实用心脑肺血管病杂志》2021年第5期137-140,共4页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：河南省医学科技攻关计划项目(SBGJ2018077)——二代测序在细菌性脑膜脑炎病原诊断中的准确性研究。

摘　　要：颅内静脉窦血栓形成(CVST)属于脑血管疾病中的一种少见类型,因病因多样、临床表现缺乏特异性而极易被误诊,患者可表现为头痛、颅内压升高和神经功能障碍等,而中枢神经系统感染是其重要发病原因之一,同时继发脑出血临床较为罕见。本文报道1例因病毒性脑膜脑炎继发CVST,随后出现脑出血患者的临床诊治过程,以期为神经科医师对该病的诊治提供参考。分析表明,病毒性脑膜脑炎继发CVST后脑出血患者的临床症状较重,预后较差,应积极进行治疗。Cerebral venous sinus thrombosis(CVST)is a rare type of cerebrovascular disease.It is easy to be misdiagnosed due to various causes and lack of specific clinical manifestations.Patients can manifest as headache,increased intracranial pressure and neurological dysfunction,etc.Central nervous system infection is one of the important causes of CVST,and secondary cerebral hemorrhage is rare.This article reported the clinical diagnosis and treatment process of a patient with cerebral hemorrhage after CVST secondary to viral meningoencephalitis,in order to provide reference for neurologists in the diagnosis and treatment of the disease.The analysis shows that the patients with cerebral hemorrhage after CVST secondary to viral meningoencephalitis have severe clinical symptoms and poor prognosis,and they should be actively treated.

关 键 词：脑膜脑炎 脑炎 病毒性 窦血栓形成 颅内 脑出血 病例报告 

分 类 号：R512.3[医药卫生—内科学] R743.33[医药卫生—临床医学]