中国卒中杂志 ›› 2024, Vol. 19 ›› Issue (2): 207-212.DOI: 10.3969/j.issn.1673-5765.2024.02.013

• 病例讨论 • 上一篇    下一篇

甲状腺功能亢进相关颅内静脉窦血栓形成1例报道

莫称龙1,2,王思敏2,侯乐1,彭烈标1,王荣飞1,施海姗1,郑东1   

  1. 1 广州 510370广州医科大学附属脑科医院神经科
    2 广东省揭阳市慈云医院内二科
  • 收稿日期:2023-07-07 出版日期:2024-02-20 发布日期:2024-02-20
  • 通讯作者: 郑东 920905565@qq.com
  • 基金资助:
    广东省自然科学基金面上项目(2023A1515011047)
    广州市卫生健康科技项目(20222A010039)
    广州市卫生健康委员会基础与应用基础研究项目(SL2022A03J01485)

Cerebral Venous Sinus Thrombosis Associated with Hyperthyroidism: A Case Report

MO Chenglong1,2, WANG Simin2, HOU Le1, PENG Liebiao1, WANG Rongfei1, SHI Haishan1, ZHENG Dong1   

  1. 1 Department of Neurology, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou 510370, China;  2 Department of Internal Medicine, Jieyang Ciyun Hospital, Jieyang 522000, China
  • Received:2023-07-07 Online:2024-02-20 Published:2024-02-20
  • Contact: ZHENG Dong, E-mail: 920905565@qq.com

摘要: 甲状腺功能亢进作为一种可能影响血液凝固的内分泌疾病,与颅内静脉窦血栓形成的关联在临床上并不常见。本文报道1例21岁男性甲状腺功能亢进并发颅内静脉窦血栓形成患者的诊治过程。患者在接受包括甲巯咪唑、抗凝治疗在内的综合治疗后头痛等症状得到明显缓解,特别是经历了血管内介入取栓这一关键性治疗步骤。本病例强调了对甲状腺功能亢进患者进行全面评估的重要性,同时也提示了在特定情况下介入性治疗的潜在价值。未来更广泛的研究将有助于制定这些并发症的管理和预防措施。

关键词: 颅内静脉窦血栓形成; 甲状腺功能亢进; 甲状腺毒症; 抗凝治疗; 血管内治疗

Abstract: Hyperthyroidism, as an endocrine disease that may affect blood coagulation, is not commonly associated with cerebral venous sinus thrombosis in clinical practice. This paper reports the diagnosis and treatment process of a 21-year-old male patient with hyperthyroidism complicated by cerebral venous sinus thrombosis. Following comprehensive treatment, including thiamazole and anticoagulation therapy, the patient experienced significant relief from symptoms such as headaches, particularly after undergoing the crucial treatment step of endovascular interventional thrombectomy. This case emphasizes the importance of a thorough assessment of patients with hyperthyroidism and also suggests the potential value of interventional treatment in specific circumstances. Future broader research will contribute to clarifying the management and preventive measures for such complications.

Key words: Cerebral venous sinus thrombosis; Hyperthyroidism; Thyrotoxicosis; Anticoagulation therapy; Endovascular treatment

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