缺铁性贫血致颅内静脉窦血栓形成1例

Intracranial Venous Sinus Thrombosis Caused by Iron Deficiency Anemia:A Case Report

缺铁性贫血是颅内静脉窦血栓非常少见的原因。本文介绍了1例以持续性头痛3周,伴有一过性意识丧失为主诉的青年女性患者的诊疗过程。患者有长期月经量大的个人史,但无其他特殊病史和血管危险因素,经头颅CT和MRV检查确诊为左侧横窦和乙状窦血栓形成,入院多次检查血常规显示缺铁性贫血。综合考虑为缺铁性贫血致颅内静脉窦血栓形成,给予针对贫血的琥珀酸亚铁,以及针对静脉窦血栓的抗凝治疗后,患者病情好转出院。

Iron deficiency anemia is a rare cause of intracranial venous sinus thrombosis.This study described the diagnosis and treatment of a young female with persistent headache for 3 weeks accompanied by transient loss of consciousness.The patient had long term heavy menstrual flow,no other vascular risk factors.Head CT and MRV confirmed thrombosis of the left transverse sinus and sigmoid sinus.Blood routines revealed iron deficiency anemia.Her intracranial venous sinus thrombosis caused by iron deficiency anemia.The patient was given ferrous succinate for anemia and anticoagulant treatment for venous sinus thrombosis.She was improved rapidly discharged later.