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題名 | Cerebral Sinus Thrombosis with Intracerebral Hemorrhage in Pregnancy: A Case Report=懷孕初期腦部靜脈竇栓塞及腦出血:病例報告 |
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作者 | 林宏時; 林瑞峰; 張丞圭; 蔡承嘉; 陳旭照; | 書刊名 | Acta Neurologica Taiwanica |
卷期 | 17:3 2008.09[民97.09] |
頁次 | 頁189-193 |
分類號 | 415.92 |
關鍵詞 | 懷孕; 靜脈竇栓塞; 腦出血; Cerebral sinus thrombosis; Transverse sinus; Increased intracranial pressure; Craniectomy; Pregnancy; |
語文 | 英文(English) |
英文摘要 | A 29-year-old woman who was pregnant for 12 weeks presented with headache for one week and drowsiness for two days. Computed tomography of the brain revealed multifocal hematomas with mass effect. Decompressive craniectomy was done to relieve the increased intracranial pressure. Magnetic resonance angiography and cerebral angiography were subsequently performed, both demonstrating thrombosis of the left transverse sinus. Treatment of sinus thrombosis generally includes correction of increased intracranial pressure and administration of anticoagulants, such as heparin. However, in this case heparin was contraindicated for the presence of intracranial bleeding, a clinical dilemma that requires careful considerations to balance treatment risks and benefits. |
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