Spontaneous Epidural Hematomas due to Cerebral Venous Thrombosis in a Patient with Immune Thrombocytopenic

Ntantos Dimitrios; Karantali Eleni; Prevezianou Angeliki; Angelopoulos Petros; Bostantjopoulou Sevasti

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Spontaneous Epidural Hematomas due to Cerebral Venous Thrombosis in a Patient with Immune Thrombocytopenic

机译：免疫血小板减少患者脑静脉血栓形成的自发硬膜外血肿

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Introduction: Intracerebral haemorrhage in patients suffering from cerebral venous thrombosis (CVT) is relatively uncommon. CVT typically occurs in hypercoagulable state of various causes. Some drugs play a causative role in CVT and thrombopoietin receptor agonists are among them. Case summary: We present a female patient with refractory immune thrombocytopenic purpura (ITP) treated with romiplostim, suffering from severe thrombosis of jugular vein expanding intracranially. Despite being treated with adequate anticoagulation, she developed spontaneous bilateral epidural and subdural hematomas with devastating outcome. Discussion: To our knowledge, this is the first reported case of spontaneous atraumatic epidural hematomas due to CVT in adult patient. We support that in our patient, blood stasis leading to the dissection of dura mater, platelet dysfunction, and anticoagulation treatment contributed to the formation of the intracranial, extracerebral haemorrhages.

机译：导言：脑静脉血栓形成（CVT）患者的脑内出血相对少见。CVT通常发生在各种原因的高凝状态。一些药物在CVT中起致病作用，血小板生成素受体激动剂就是其中之一。病例总结：我们报告一名女性患者，患有难治性免疫性血小板减少性紫癜（ITP），接受罗米普洛司汀治疗，患有严重的颈静脉血栓形成，并在颅内扩张。尽管进行了充分的抗凝治疗，她还是出现了自发性双侧硬膜外和硬膜下血肿，并造成了毁灭性的后果。讨论：据我们所知，这是首次报道的成人患者因CVT导致自发性非创伤性硬膜外血肿。我们支持在我们的患者中，导致硬脑膜剥离的血瘀、血小板功能障碍和抗凝治疗导致颅内和脑外出血的形成。

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来源
《Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association》 |2020年第11期|共3页
作者
Ntantos Dimitrios; Karantali Eleni; Prevezianou Angeliki; Angelopoulos Petros; Bostantjopoulou Sevasti;
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作者单位

Aristotle Univ Thessaloniki Neurol Dept 3 Gen Hosp G Papanikolaou Thessaloniki 57010 Greece;

Aristotle Univ Thessaloniki Neurol Dept 3 Gen Hosp G Papanikolaou Thessaloniki 57010 Greece;

Aristotle Univ Thessaloniki Neurol Dept 3 Gen Hosp G Papanikolaou Thessaloniki 57010 Greece;

Aristotle Univ Thessaloniki Neurol Dept 3 Gen Hosp G Papanikolaou Thessaloniki 57010 Greece;

Aristotle Univ Thessaloniki Neurol Dept 3 Gen Hosp G Papanikolaou Thessaloniki 57010 Greece;

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正文语种 eng
中图分类神经病学与精神病学;
关键词
Cerebral venous thrombosis; Epidural hematoma; Immune thrombocytopenic purpura; Intracranial hemorrhage;

机译：脑静脉血栓形成;硬膜外血肿;免疫性血小板减少性紫癜;颅内出血;

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2. Spontaneous intracranial hypotension complicated with cerebral venous thrombosis and subdural effusion: a case report [J] . Murali Krishna Menon, Thara Prathap, Muhammed Jasim Abdul Jalal 神经免疫与神经炎症（英文版） . 2016,第004期
3. Rapid resolution of subdural hematoma after targeted epidural blood patch treatment in patients with spontaneous intracranial hypotension [J] . Wang Jin, Zhang Dan, Gong Xiangyang, 中华医学杂志（英文版） . 2014,第011期
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机译：自发的颅内低血压作为脑静脉血栓形成对抗凝治疗的患者硬膜体血肿的原因
6. Delayed subdural hematoma and cerebral venous thrombosis in a patient with spontaneous intracranial hypotension. [J] . Mao YT, Dong Q, Fu JH Neurological sciences . 2011,第5期

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Spontaneous Epidural Hematomas due to Cerebral Venous Thrombosis in a Patient with Immune Thrombocytopenic

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