低颅压综合征伴脑静脉窦血栓及卵圆孔未闭1例报告并文献复习  

Intracranial Hypotension Syndrome with Cerebral Venous Sinus Thrombosis and Patent Foramen Ovale: A Case Report and Literature Review

作　　者：曹磊 李伟[2] 

机构地区：[1]西安医学院研究生院,陕西 西安 [2]陕西省人民医院神经内科,陕西 西安

出　　处：《临床医学进展》2023年第7期12164-12170,共7页Advances in Clinical Medicine

摘　　要：自发性低颅压综合征是一组临床较罕见的神经系统疾病,除了典型的直立性头痛表现,还可能导致脑静脉窦血栓这一罕见并发症。本文报道1例35岁女性患者,亚急性病程,以直立性头痛发病,补液保守治疗后复发,影像学检查显示双侧大脑半球脑膜增厚强化、脑静脉窦血栓形成表现,再次经补液、抗凝等保守治疗后头痛症状缓解、血栓减少,随访3个月未再诉头痛。住院期间经右心声学造影检查提示卵圆孔未闭,目前卵圆孔未闭与自发性低颅压综合征的关系尚不明确,本文对两者之间可能的联系做出探讨。Spontaneous intracranial hypotension syndrome is a group of rare neurological diseases. In addi-tion to typical orthostatic headache, it may also lead to the rare complication of cerebral venous si-nus thrombosis. This paper reports a 35-year-old female patient with subacute course of orthostatic headache, which recurred after conservative treatment with fluid infusion. Imaging examination showed meningeal thickening and enhancement in bilateral cerebral hemispheres and cerebral venous sinus thrombosis. After conservative treatment with fluid infusion and anticoagulation again, the headache symptoms were relieved and thrombosis was reduced. During hospitalization, contrast echocardiography showed patent foramen ovale. At present, the relationship between pa-tent foramen ovale and SIH is not clear, and the possible relationship between them is discussed in this paper.

关 键 词：低颅压综合征 卵圆孔 颅内 静脉窦血栓形成 

分 类 号：R73[医药卫生—肿瘤]