PDF(Pubmed)
Abstract：
Cerebral venous sinus thrombosis (CVST), a rare but deadly disorder, causes papilledema as well as a number of frequent clinical symptoms, including excruciating headaches, focal seizures, and paralysis on one or both sides of the body. In this intriguing case study, we present the clinical narrative of a 45-year-old man who sought medical attention due to severe headaches persisting for two days. Concurrently, he experienced an abrupt onset of tingling and numbness in his left upper arm. Remarkably, magnetic resonance venography (MRV) revealed an absence of the sigmoid sinus, left transverse sinus, left jugular vein, and superior sagittal sinus, adding complexity to the diagnostic puzzle. Despite this anomaly, conventional brain MRI findings appeared normal. The patient reported a significant reduction in headache intensity following treatment, which included a year-long course of anticoagulant therapy. Subsequently, he gradually regained his health, underscoring the importance of multidisciplinary approaches in managing such challenging cases. This example emphasizes the significance of considering CVST while developing a differential diagnosis of various neurological disorders. Given the vast spectrum of clinical symptoms associated with CVST, it should be taken into account as a potential causative factor in a number of neurological illnesses, in order for patients to experience the best outcomes, quick diagnosis, and quality care.
摘要：
脑静脉窦血栓形成(CVST),一种罕见但致命的疾病，引起乳头水肿以及一些常见的临床症状，包括剧烈的头痛，局灶性癫痫发作,身体一侧或两侧瘫痪。在这个有趣的案例研究中，我们介绍了一名45岁男子因严重头痛持续两天而求医的临床情况。同时,他的左上臂突然出现刺痛和麻木。值得注意的是,磁共振静脉造影（MRV）显示乙状窦缺失，左横窦,左颈静脉,和上矢状窦,增加了诊断难题的复杂性。尽管有这种异常,常规脑MRI检查结果正常。患者报告治疗后头痛强度显著降低，其中包括为期一年的抗凝治疗。随后，他逐渐恢复了健康，强调多学科方法在管理这些具有挑战性的案例中的重要性。该实施例强调了在开发各种神经障碍的鉴别诊断时考虑CVST的重要性。鉴于与CVST相关的大量临床症状，应将其视为许多神经系统疾病的潜在致病因素，为了让患者体验到最好的结果，快速诊断,和优质护理。
