产后子痫并发脑静脉血栓1例

Jacquelyn A Combs, Teja Narra, Conway Ou, Deyna Monta Velaz, Justin Chatten-Brown, L. Ranasinghe
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引用次数: 0

摘要

脑静脉血栓形成与先兆子痫是一种罕见的现象,尚未完全了解,并提出了一个潜在的挑战的情况下,治疗和未来的管理。本病例是一名25岁女性,有妊娠糖尿病和高甘油三酯血症病史,产后3天因惊厥发作并发脑静脉血栓形成和HELLP综合征而出现。经子痫手术、抗焦虑药物及两种不同类型的抗凝治疗后,患者的症状得到缓解。由于影像学检查未发现任何大静脉凝血,故不建议取栓。未来的检查,以及在未来怀孕的情况下的仔细考虑,应该由医生追求。检测和更好地了解脑静脉血栓形成背后的病理生理学是很困难的,因为这种情况很少发生,但回顾以往的文献,进一步了解子痫及其在体内的进展,可能有助于对类似病例提供更深入的了解,以及在上述病例中应该使用的方法。
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Post-partum Eclampsia Complicated by Cerebral Venous Thrombosis: Case Report
Cerebral Vein Thrombosis associated with preeclampsia is a rare phenomenon that is not fully understood and presents a potentially challenging situation for treatment and future management. This case presents a 25-year old female with a history of gestational diabetes and hypertriglyceridemia presenting three days post-partum for an eclamptic seizure complicated by cerebral vein thrombosis and HELLP syndrome. The patient’s presenting symptoms were alleviated by eclampsia procedure, anti-anxiety medication, and two different types of anticoagulation. Thrombectomy was not indicated, as imaging did not suggest any large vein clotting. Future check-ins, as well as careful considerations in the event of future pregnancies, should be pursued by the physicians. Testing and gaining a better understanding of the pathophysiology behind cerebral vein thrombosis proves to be difficult as the occurrence is rare, but looking to previous literature to further an understanding of eclampsia and how it progresses in the body may help to provide a greater insight into similar cases and the approach that should be used in said cases.
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