Mesh : Female Humans Headache / etiology Intracranial Hypertension / diagnosis etiology Intracranial Pressure / physiology Magnetic Resonance Imaging Recurrence Sinus Thrombosis, Intracranial / diagnosis complications

来  源:   DOI:10.59556/japi.71.0371

Abstract:
BACKGROUND: Raised intracranial pressure (ICP) can be due to varied etiology. Differentiating among these various etiologies is crucial in making appropriate therapeutic decisions. A patient with a known past history of the primary or secondary headache of any etiology, when presenting with new onset severe headache, needs to be evaluated with imaging to rule out an alternative diagnosis.
CONCLUSIONS: Here, we describe the case details of a young lady who presented with recurrent raised ICP headaches due to three different etiologies. At her third visit, isolated intracranial hypertension (IH) was the only manifestation of cerebral venous sinus thrombosis (CVST), which could have been missed if a repeat magnetic resonance imaging (MRI) brain and venogram were not done.
CONCLUSIONS: Our case highlights the importance of having a high degree of suspicion for CVST in the clinical setting of raised ICP headache in view of its crucial therapeutic implications.
摘要:
背景:颅内压(ICP)升高可能是由于多种病因所致。区分这些不同的病因对于做出适当的治疗决定至关重要。已知有任何病因的原发性或继发性头痛病史的患者,当出现新发作的严重头痛时,需要通过影像学评估以排除替代诊断。
结论:这里,我们描述了一位年轻女士的病例细节,她由于三种不同的病因而出现了复发性ICP头痛.在她第三次访问时,单纯颅内高压(IH)是脑静脉窦血栓形成(CVST)的唯一表现,如果没有进行重复的磁共振成像(MRI)脑和静脉造影,可能会错过。
结论:我们的案例强调了在ICP性头痛的临床背景下高度怀疑CVST的重要性,因为它具有重要的治疗意义。
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