•  
  •  
 

Rehabilitation Practice and Science

Translated Title

懷孕期之腦部靜脈栓塞併腦部動脈梗塞：病例報告

Abstract

Cerebral venous thrombosis (CVT) usually occurs in young adult or middle aged adult women. Although not of high incidence, it is an important cause of brain hemorrhage or infarction in pregnant women. According to previous studies, the most common symptom is headache. However, because of only headache mostly, correct diagnosis is a challenge before progression to stroke. The patient was a 30-year-old female. Except for hyperthyroidism history during last pregnancy, she did not have any special associated past history. She suffered sudden onset of left side weakness; when her term was 32 weeks. Brain magnetic resonance imaging showed right middle cerebral artery territory infarction and left sigmoid sinus thrombosis. At that time, Brunnstrom stage was II and mild dysarthria was also noted. No loss of consciousness, incontinence, or other neurologic sign was noted. Basically, venous or sinus thrombosis will cause brain lesion or functional abnormality. Sinus thrombosis also decreases absorption of cerebrospinal fluid and increases intracranial pressure. Headache is the most frequently occurring symptom and sometimes seizure occurs. If a cerebral vascular accident occurs, management is the same as for other stroke patients. If cerebral vascular accident does not occur, management considered may include: anticoagulant, endovascular thrombolysis, or therapeutic lumbar puncture if increased intracranial pressure is noted. Besides, other survey for associated diseases may need arrange for appropriate control.

Language

Traditional Chinese

First Page

259

Last Page

263

Download

Share

COinS