机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China神经内科首都医科大学宣武医院[2]Cerebral Vascular Diseases Research Institute (China-America Institute of Neuroscience), Xuanwu Hospital, Beijing Institute for Brain Disorders, Capital Medical University and the Center of Stroke, Beijing, China中美神经科学研究所首都医科大学宣武医院[3]Department of Emergency, Xuanwu Hospital, Capital Medical University, Beijing, China急诊科首都医科大学宣武医院[4]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.神经外科首都医科大学宣武医院
Objective: Thrombosis is a common complication of nephrotic syndrome (NS). However, cerebral venous sinus thrombosis (CVST) secondary to NS is rarely reported. Here we report a case series study of 5 cases of CVST with NS, so as to make a better understanding and management of this disorder. Methods: A retrospective study was performed in 5 consecutive patients with CVST in combination with NS between 2009 and 2015. The clinical manifestations, laboratory and radiological findings, treatment, and clinical outcomes were analyzed. Results: This cohort of case series consists of 1 woman and 4 men, aged 16-49 years. All patients complained initially of an acute or subacute headache. CVST attacked during NS occurrence in 3 patients, and during NS recurrence in 2 patients. The median duration of signs and symptoms prior to clinical diagnosis and treatment was 12.80 +/- 7.53 days. In all patients, it was magnetic resonance venography that detected the thrombosis in the cerebral venous sinus, with the most common site of CVST to be the superior sagittal sinus (5 of 5 patients). Two or more segments of sinus were involved simultaneously in 4 patients. The treatment of CVST in NS involved therapy of CVST in the general population. All the 5 patients had full recovery, and no one relapsed with a follow-up of 26.60 +/- 29.75 months. Conclusions: NS may be one of the important etiologies of CVST. When patients with NS had progressing headache, seizure, or other unexplained neurological symptoms, CVST should be considered.
基金:
the 12th Five science and technology support program (No. 2013BAI07B01).
第一作者机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China[2]Cerebral Vascular Diseases Research Institute (China-America Institute of Neuroscience), Xuanwu Hospital, Beijing Institute for Brain Disorders, Capital Medical University and the Center of Stroke, Beijing, China
通讯作者:
通讯机构:[*1]Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China.
推荐引用方式(GB/T 7714):
Yuan Wang ,Ran Meng ,Jiangang Duan ,et al.Nephrotic Syndrome May Be One of the Important Etiologies of Cerebral Venous Sinus Thrombosis[J].JOURNAL OF STROKE & CEREBROVASCULAR DISEASES.2016,25(10):2415-2422.doi:10.1016/j.jstrokecerebrovasdis.2016.06.013.
APA:
Yuan Wang,,Ran Meng,,Jiangang Duan,,Gang Liu,Jian Chen,...&Xunming Ji,.(2016).Nephrotic Syndrome May Be One of the Important Etiologies of Cerebral Venous Sinus Thrombosis.JOURNAL OF STROKE & CEREBROVASCULAR DISEASES,25,(10)
MLA:
Yuan Wang,,et al."Nephrotic Syndrome May Be One of the Important Etiologies of Cerebral Venous Sinus Thrombosis".JOURNAL OF STROKE & CEREBROVASCULAR DISEASES 25..10(2016):2415-2422