摘要
Abstract
Objective To analyze the characteristics of headache in cerebral venous sinus thrombosis (CVST) through case report, so as to increase the understanding of CVST. Methods Cases of CVST who came to Peking University third hospital between January 2007 and December 2016 were collected. Retrospective review was made upon the characteristics of headache, clinical manifestations, clinical medical records, and neuroimaging studies. And the relevant literatures were reviewed for discussion. Results A total of 18 patients were enrolled into study. Transverse sinus was the most common site of thrombosis (77.8%, 14/18), followed by sigmoid sinus (61.1%, 11/18) and the superior sagittal sinus (50%, 9/18). There were 14 cases (77.8%) had involvement of multiple sinuses. Headache was the first symptom in all patients, including 7 cases (38.9%) with headache as the only symptom. There were 11 cases complicated with other symptoms, including epilepsy (38.9%, 7/18), vomiting (44.4%, 8/18), limb numbness (11.1%, 2/18), limb weakness (16.7%, 3/18), eye symptoms (22.2%, 4/18), and disturbance of consciousness (11.1%, 2/18). Headache was located in one side in 9 cases (50%), and 8 cases (88.9%, 8/9) had ipsilateral CVST. The mean of visual analogue scale/score (VAS) was 7 points (3-10 points). The onset of headache was acute in 5 cases (27.8%), subacute in 12 cases (66.7%), and chronic in 1 case (5.6%). Conclusion Headache was the most common symptom of CVST. Venous sinus thrombosis located in the same side of headache in CVST patients with unilateral headache. Young patients with subacute headache should be alert to the possibility of CVST.关键词
颅内静脉窦血栓形成/头痛Key words
Cerebral venous sinus thrombosis/Headache
