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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Cerebral Venous Thrombosis Associated With Iron Deficiency Anemia
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Cerebral Venous Thrombosis Associated With Iron Deficiency Anemia

机译：缺铁性贫血相关的脑静脉血栓形成

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摘要

A 55-year-old man presented with generalized seizures and postictal left hemipare-sis. Computed tomography scanning of his head showed a low density area in the right frontal lobe. Cerebral angiography demonstrated a partial defect in the superior sagittal sinus and cortical veins, indicating the presence of cerebral venous thrombosis. He had bleeding from a peptic ulcer and the laboratory data revealed iron deficiency anemia concomitant with an elevation of D-dimer and thrombin-an-tithrombin III complex (TAT). After the anemia resolved with the treatment of the peptic ulcer and iron supplementation, the TAT and D-dimer levels were normalized, and the occluded veins were recanalized. In a cerebral venous thrombosis associated -with iron deficiency anemia, treatment for the anemia may improve hypercoagulable state without antithrombotic therapy, although the long-term monitoring of TAT and D-dimer levels is required.
机译：一名55岁的男性患者出现全身性癫痫发作和左半身偏瘫。他的头部的计算机断层扫描显示在右额叶中有一个低密度区域。脑血管造影显示上矢状窦和皮层静脉有部分缺损，表明存在脑静脉血栓形成。他因消化性溃疡出血，实验室数据显示，铁缺乏性贫血伴随D-二聚体和凝血酶-凝血酶III复合物（TAT）升高。通过消化性溃疡和补铁治疗贫血后，TAT和D-二聚体水平恢复正常，闭塞静脉再通。在与铁缺乏性贫血相关的脑静脉血栓形成中，尽管需要长期监测TAT和D-二聚体水平，但如果不进行抗血栓治疗，贫血的治疗可能会改善高凝状态。

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