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首页> 外文期刊>Case Reports in Neurological Medicine >Cerebral Venous Sinus Thrombosis following Diagnostic Curettage in a Patient with Uterine Fibroid
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Cerebral Venous Sinus Thrombosis following Diagnostic Curettage in a Patient with Uterine Fibroid

机译：诊断性刮宫术对子宫肌瘤患者的脑静脉窦血栓形成

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Cerebral venous sinus thrombosis (CVST) is a relatively rare cerebrovascular disease, of which the risk has been documented in patients with numerous conditions. However, CVST has never been previously described in association with the use of a diagnostic curettage in patient with uterine fibroid. Herein, we described a 43-year-old woman who presented with recurrent convulsive seizures and severe and progressive headache 1 day after a diagnostic curettage of the uterus, which was confirmed to be uterine fibroid pathologically later, and her condition subsequently progressed to confusion. Brain magnetic resonance imaging (MRI) revealed an acute extensive thrombosis of the left transverse and sigmoid sinus and the ipsilateral cerebellum infarction. Evaluation for primary thrombophilia revealed that an iron deficiency anemia (IDA) due to the fibroid bleeding induced menorrhagia together with a diagnostic curettage might be the sole hypercoagulable risk factor identified. Treatment with anticoagulation led to full recovery of her symptoms and recanalization of the thrombosis was proven on magnetic resonance venography (MRV) 2 months later. We suggest that CVST should be recognized as a potential complication related to this diagnostic technique, especially in patient with IDA. The early diagnosis and timely treatment would be of significance in improving the prognosis of this potentially lethal condition.
机译：脑静脉窦血栓形成（CVST）是一种相对罕见的脑血管疾病，已在许多情况下的患者中记录了这种风险。但是，以前从未将CVST与诊断性刮宫术结合用于子宫肌瘤患者中进行描述。本文中，我们描述了一名43岁的妇女，在诊断性刮宫子宫后1天出现反复的惊厥性癫痫发作和重度和进行性头痛，这在病理学上被确认为子宫肌瘤，其病情随后变得混乱。脑磁共振成像（MRI）显示左横，乙状窦和同侧小脑梗死急性广泛血栓形成。对原发性血栓形成性疾病的评估表明，由肌瘤出血引起的月经过多和诊断性刮宫引起的铁缺乏性贫血（IDA）可能是唯一确定的高凝危险因素。抗凝治疗导致她的症状完全恢复，血栓形成再通在两个月后的磁共振静脉造影（MRV）中得到证实。我们建议应将CVST视为与此诊断技术相关的潜在并发症，尤其是在IDA患者中。早期诊断和及时治疗对改善这种可能致命的疾病的预后具有重要意义。

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