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Cerebral venous sinus stenosis should not be neglected when cerebral artery stenosis is confirmed: a case report

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机构: [1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China [2]Advanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing, 100053, China [3]Department of China-America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China [4]Department of Neurosurgery, Wayne State University School of Medicine, Detroit, Michigan, 48201, USA [5]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China
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关键词: Arteriovenous condition cerebral arterial stenosis cerebral venous sinus stenosis nonspecific symptom stenting

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Purpose: Cerebral venous sinus stenosis (CVSS) is easily neglected in clinical setting due to its nonspecific symptoms. In patients with cerebral arterial stenosis (CAS), the symptoms caused by CVSS are often mistakenly thought of being attributed to CAS. In this case, we aimed to highlight the clinical manifestations and treatment strategies of CVSS comorbid with CAS. Materials and methods: We present an 83-year-old female who complained a series of nonspecific and non-focal neurological deficits such as tinnitus, head noise, dizziness, etc. She was initially diagnosed as CAS and underwent anti-CAS medication orally for over 2 years, whereas her symptoms were still aggravating. Results: Magnetic resonance venography (MRV) and magnetic resonance imaging (MRI) displayed severe stenoses at bilateral sigmoid-transverse sinus conjunctions, and thus, the patient underwent intravenous stenting finally. Her aforementioned symptoms significantly attenuated after venous stenting and even disappeared gradually at 3-month, 6-month and 1-year follow-up. Conclusions: This paper revealed that cerebral venous outflow disturbance should not be overlooked when the nonspecific and non-focal neurological deficits could not be explained by cerebral artery disease. For this arteriovenous condition, intravenous stenting may be a feasible and effective way for symptoms relieving. © 2020, © 2020 Informa UK Limited, trading as Taylor & Francis Group.

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出版当年[2020]版:
大类 | 4 区 医学
小类 | 4 区 神经科学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 神经科学
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出版当年[2019]版:
Q4 NEUROSCIENCES
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Q4 NEUROSCIENCES

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第一作者机构: [1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China [2]Advanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing, 100053, China [3]Department of China-America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China
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通讯机构: [*1]Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
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