Cerebral venous sinus thrombosis presenting with subarachnoid hemorrhage and intracerebral hemorrhage:a case report
摘要Objective:To explore the clinical and pathological characteristics of cerebral venous si-nus thrombosis (CVST) with subarachnoid hemorrhage (SAH) and intracerebral hemorrhage (ICH),and to inves-tigate the diagnosis,radiographic changes,and progno-sis over the course of treatment.Methods:The clinical data and radiographic findings of a young male CVST patient,who presented with initial symptoms of SAH and ICH,were collected and analyzed.The relevant literature was also reviewed.Results:The patient had no specific clinical symptoms except for headache.The brain com-puted tomography (CT) scan revealed SAH,a high-den-sity shadow in the right posterior fossa and cerebellar hemisphere,and ICH in the left frontal lobe.Magnetic resonance venography (MRV) further revealed bilateral thrombosis in the transverse and sigmoid sinuses.Con-clusion:CVST with SAH and ICH is rare and difficult to diagnose.Careful radiological study and clinical analysis are important for the correct and early diagnosis of this condition.Anticoagulation therapy is considered the pri-mary treatment for CVST.
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