Introduction Cerebral venous sinus thrombosis is a rare condition. The most frequent symptoms and signs are headache, focal seizures with or without secondary generalization, unilateral or bilateral paresis and papilledema. We report a case of transverse sinus and superior sagittal sinus thrombosis that presented with diplopia in a pregnant woman. Case presentation A 34-year-old Malay woman, gravida 3 para 2 at 8 weeks of pregnancy, was admitted for hyperemesis gravidarum, presented with sudden onset of diplopia, blurring of vision and headache. A magnetic resonance scan of her brain showed the presence of cerebral edema with no space occupying lesion, but magnetic resonance venography ultimately revealed right transverse sinus and superior sagittal sinus thrombosis. The patient was treated with anticoagulation for 1 year, after which the patient recovered fully. Conclusion Due to its diverse and varied neurological presentation, cerebral venous sinus thrombosis should be considered in almost any brain syndrome.
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机译:引言脑静脉窦血栓形成是一种罕见的疾病。最常见的症状和体征是头痛,伴或不伴继发性泛发的局灶性发作,单侧或双侧轻瘫和乳头水肿。我们报告一名孕妇出现复视的横窦和上矢状窦血栓形成病例。病例介绍一名孕妇,怀孕8周时的gravida 3 para 2的34岁马来妇女因妊娠呕吐而入院,表现为突然复视,视力模糊和头痛。她的大脑进行了磁共振扫描,发现存在脑水肿,无病变占位,但磁共振静脉造影最终显示出右横窦和上矢状窦血栓形成。患者接受抗凝治疗1年,之后完全康复。结论由于其神经学表现形式多样,几乎所有脑综合征都应考虑脑静脉窦血栓形成。
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