PDF(Pubmed)
Abstract：
UNASSIGNED: Cortical venous thrombosis is a rare but severe complication of TBM that requires a high index of suspicion for early diagnosis. The treatment of CVT in TBM is based on anticoagulant therapy, which is known to improve the outcomes of the patients.
UNASSIGNED: The case report describes an 18-year-old male in India with symptoms of tubercular meningitis complicated by cortical venous thrombosis. Tubercular meningitis is a rare but severe form of meningitis caused by tuberculosis bacteria and is a significant public health concern in India. The patient presented to the emergency department with a history of fever, headache, and vomiting for the past month, with a positive Mycobacterium tuberculosis test. The patient was started on standard antitubercular therapy and was diagnosed with cortical venous thrombosis via an MRI scan. Treatment included antitubercular therapy, anticoagulation therapy, dexamethasone, and antiemetic drugs. The patient\'s symptoms improved over 2 weeks of therapy. The case highlights the importance of early detection, treatment, and prevention strategies, such as the National Tuberculosis elimination program, in controlling the spread of tuberculosis in India. It also emphasizes the importance of close monitoring for complications in patients with tubercular meningitis, such as cortical venous thrombosis, which can be life-threatening.
UNASSIGNED: The case report describes an 18-year-old male in India with symptoms of tubercular meningitis complicated by cortical venous thrombosis. Tubercular meningitis is a rare but severe form of meningitis caused by tuberculosis bacteria and is a significant public health concern in India. The patient presented to the emergency department with a history of fever, headache, and vomiting for the past month, with a positive Mycobacterium tuberculosis test. The patient was started on standard antitubercular therapy and was diagnosed with cortical venous thrombosis via an MRI scan. Treatment included antitubercular therapy, anticoagulation therapy, dexamethasone, and antiemetic drugs. The patient\'s symptoms improved over 2 weeks of therapy. The case highlights the importance of early detection, treatment, and prevention strategies, such as the National Tuberculosis elimination program, in controlling the spread of tuberculosis in India. It also emphasizes the importance of close monitoring for complications in patients with tubercular meningitis, such as cortical venous thrombosis, which can be life-threatening.
摘要：
■皮质静脉血栓形成是TBM的一种罕见但严重的并发症，需要高度怀疑才能早期诊断。TBM中CVT的治疗基于抗凝治疗，众所周知，这可以改善患者的预后。
■该病例报告描述了印度一名18岁男性，患有结核性脑膜炎并伴有皮质静脉血栓形成的症状。结核性脑膜炎是由结核细菌引起的一种罕见但严重的脑膜炎形式，在印度是一个重要的公共卫生问题。患者因发烧史被送往急诊科就诊，头痛,在过去的一个月里呕吐，结核分枝杆菌检测呈阳性.患者开始接受标准抗结核治疗，并通过MRI扫描诊断为皮质静脉血栓形成。治疗包括抗结核治疗，抗凝治疗,地塞米松,和止吐药。患者的症状在治疗2周后得到改善。这个案例凸显了早期发现的重要性,治疗,和预防战略，例如国家结核病消除计划，控制结核病在印度的传播。它还强调了密切监测结核性脑膜炎患者并发症的重要性，比如皮质静脉血栓形成,可能会危及生命.
■该病例报告描述了印度一名18岁男性，患有结核性脑膜炎并伴有皮质静脉血栓形成的症状。结核性脑膜炎是由结核细菌引起的一种罕见但严重的脑膜炎形式，在印度是一个重要的公共卫生问题。患者因发烧史被送往急诊科就诊，头痛,在过去的一个月里呕吐，结核分枝杆菌检测呈阳性.患者开始接受标准抗结核治疗，并通过MRI扫描诊断为皮质静脉血栓形成。治疗包括抗结核治疗，抗凝治疗,地塞米松,和止吐药。患者的症状在治疗2周后得到改善。这个案例凸显了早期发现的重要性,治疗,和预防战略，例如国家结核病消除计划，控制结核病在印度的传播。它还强调了密切监测结核性脑膜炎患者并发症的重要性，比如皮质静脉血栓形成,可能会危及生命.
