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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Vernet's Syndrome Associated with Internal Jugular Vein Thrombosis
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Vernet's Syndrome Associated with Internal Jugular Vein Thrombosis

机译：梨甜综合征与内部颈静脉血栓形成相关

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摘要

Our objective is to present a case of Vernet's syndrome (cranial nerve (CN) IX, X, and XI palsy) associated with cerebral venous thrombosis (CVT) in an internal jugular vein. The patient presented with acutely developed dysphagia. The weakness of the left sternocleidomastoid and trapezius muscles was observed. The initial magnetic resonance imaging and computed tomography (CT) with contrast enhancement showed contrast-filling defect in the left internal jugular vein inside the jugular foramen. The magnetic resonance venography with contrast enhancement revealed a partial filling defect in the left sigmoid sinus and total occlusion of the left internal jugular vein. Under the diagnosis of CVT associated with CN IX, X palsy, anticoagulation therapy with low-molecular-weighted heparin was initiated. Despite the continued anticoagulation therapy for 3 months, neither the burden of thrombosis in the left sigmoid sinus and internal jugular vein on neck CT nor dysphagia symptoms improved. Clinicians need to be aware of internal jugular venous thrombosis as one of the differential diagnoses in Vernet's syndrome in patients in a hypercoagulable state. Further reporting of similar cases is needed to confirm the association between CVT and Vernet's syndrome.
机译：我们的目的是呈现与内部颈静脉中的脑静脉血栓形成（CVT）相关的梨甜综合征（颅神经（CN）IX，x和Xi Palsy）。患者患有急剧开发的吞咽困难。观察到左胸骨细胞肌瘤和梯形肌肉的弱点。具有对比度增强的初始磁共振成像和计算机断层扫描（CT）在颈颈孢子内的左内颈静脉中显示出对比填充缺陷。磁共振静脉造影具有对比度增强揭示了左旋翼窦中的部分填充缺陷和左内腔静脉的总闭塞。在与CN IX相关联的CVT的诊断下，启动了X PALSY，抗凝治疗用低分子加权肝素进行。尽管持续的抗凝治疗3个月，但左肱骨血栓形成的血栓形成和内部颈部静脉颈部CT和吞咽症状的症状都没有改善。临床医生需要意识到内部颈静脉血栓形成，作为血型术中患者患者患者中的差异诊断之一。需要进行类似案例的进一步报告，以确认CVT和梨​​群综合征之间的关联。

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