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장관과 혈관을 침범한 베체트병 환자에서 발생한 상시상정맥동혈전증

Thrombosis of the Superior Sagittal Sinus in Behcet’s Disease With Vascular and Enteric Involvements

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초록

We report superior sagittal sinus thrombosis as a central nervous system presentation of Behcet’s disease in a patient with peripheral vascular and enteric involvement. The main symptoms were headache and horizontal diplopia due to intracranial hypertension. T1-weighted MRI with gadolinium enhancement revealed a similar pattern of the “empty delta sign” that is usually seen on brain CT. A magnetic resonance venogram revealed filling defects resulting from the thrombosis. These features are helpful for the noninvasive diagnosis of sagittal sinus thrombosis.

Abstract

We report superior sagittal sinus thrombosis as a central nervous system presentation of Behcet’s disease in a patient with peripheral vascular and enteric involvement. The main symptoms were headache and horizontal diplopia due to intracranial hypertension. T1-weighted MRI with gadolinium enhancement revealed a similar pattern of the “empty delta sign” that is usually seen on brain CT. A magnetic resonance venogram revealed filling defects resulting from the thrombosis. These features are helpful for the noninvasive diagnosis of sagittal sinus thrombosis.

참고문헌 (10)

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  6. Stienen A, "Obstruction of cerebral venous sinus secondary to idiopathic intracracnial hypertension", Eur J Neurol, 15, pp.1416~1418 (2008)
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  9. Leiba M, "Thrombotic factors are not the leading cause of thrombosis in Behcet’s disease", Ann Rheumatic Dis, 63, pp.1445~1449 (2004)
  10. Ahn JK, "Treatment of venous thrombosis associated with Behcet’s disease: immunosuppressive therapy alone versus immunosuppressive therapy plus anticoagulation", Clin Rheumatol, 27, pp.201~205 (2008)

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