文档介绍：2012 4 12 2 Chin J Contemp Neurol Neurosurg, April 2012, Vol. 12, No. 2
· 226 · 中国现代神经疾病杂志年月第卷第期
· ·
临床病理(例)讨论
头痛呕吐四肢麻木无力
谢曼青倪俊彭斌王建明崔丽英
【关键词】窦血栓形成,颅内; 绒毛膜瘤; 病例报告
Sinus thrombosis, intracranial; Choriocarcinoma; Case reports
【Key words】
DOI .1672⁃
:
⁃⁃
A 37 year old woman with a history of choriocarcinoma developed severe headache vomiting and extremities numbness
XIE Man⁃qing, NI Jun, PENG Bin, WANG Jian⁃ming, CUI Li⁃ying
Department of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical
College, Beijing 100730, China
⁃
Corresponding author: CUI Li ying (Email: pumchcly@)
病历摘要
37 4
患者女性, 岁。主因绒毛膜癌(绒癌) 个月,头痛、
1 10 d 2011 1 24
呕吐月余,四肢麻木、无力,于年月日入院。
2010 11
患者曾于年月被我院妇产科诊断为绒癌Ⅲ期,并行
1 2010 12 19
第程药物化疗。年月日后逐渐出现头痛,呈双
2011 1 6
侧额顶部持续性跳痛,程度较轻,尚可耐受; 年月日
3 MRV
第程药物化疗开始后头痛症状加重,伴恶心、呕吐(为胃内图 1 入院时检查上矢状窦、窦汇、双侧横窦、左侧乙
1a 1b
10 /d 2011 1 11 3 状窦、颈内静脉均未明显显影矢状位冠状位
容物), 余次, 年月日完成第程化疗后头痛、 MRV after onset revealed the superior sagittal
Figure 1
恶心、呕吐症状仍未缓解,同时伴双眼向左注视复视,视物模 sinus, confluence of sinuses, bilateral transverse sinuses, left
sigmoid sinus and internal jugular vein were absent. Median
糊,但不伴意识障碍、肢体麻木、无力等症状与体征。遂于我 sagittal section (Panel 1a). Coronal section (Panel 1b)
mmol/L ~
院内科急诊,实验室检查血清钾离子(
mmol/L 128 mmol/L 135