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Papilloedema and Increased Intracranial Pressure as a Result of Unilateral Jugular Vein Thrombosis

机译:单侧颈静脉血栓形成导致乳头水肿和颅内压升高

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Intracranial hypertension and papilloedema are known to develop secondary to cerebral sinus or bilateral jugular vein thrombosis. However, in rare cases, unilateral jugular vein thrombosis may lead to increased intracranial pressure and papilloedema with resultant headache and vision changes. We describe a 45-year-old patient with squamous cell carcinoma of the larynx that developed right jugular vein thrombosis after chemoradiation therapy with cetuximab. This was later complicated by intracranial hypertension and papilloedema. The normal cerebral venous drainage, the potential role of chemoradiation therapy on the aetiology of jugular vein thrombosis, and the mechanism of increased intracranial pressure secondary to unilateral jugular vein occlusion are discussed.
机译:已知颅内高压和乳头水肿继发于脑窦或双侧颈静脉血栓形成。但是,在极少数情况下,单侧颈静脉血栓形成可能导致颅内压升高和乳头水肿,从而导致头痛和视力改变。我们描述了一名45岁的喉鳞状细胞癌患者,在用西妥昔单抗进行化学放疗后出现了右颈静脉血栓形成。后来并发颅内高压和乳头水肿。讨论了正常的脑静脉引流,化学放疗对颈静脉血栓形成的病因学的潜在作用,以及单侧颈静脉阻塞后颅内压升高的机制。

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