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[PMID]:29390539
[Au] Autor:Xu F; Liu C; Huang X
[Ad] Endereço:Department of Traditional Chinese Medicine, Xuanwu Hospital Capital Medical University, Beijing, China.
[Ti] Título:Oral contraceptives caused venous sinus thrombosis complicated with cerebral artery infarction and secondary epileptic seizures: A case report and literature review.
[So] Source:Medicine (Baltimore);96(51):e9383, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Venous sinus thrombosis is a special type of cerebrovascular disease. Its incidence is low and its symptoms are lack of specificity. And its early diagnosis and treatment are very difficult. PATIENT CONCERNS: This paper reported a rare case of a 43-year-old female who presented with cerebral venous thrombosis (CVT) complicated with cerebral artery infarction and secondary epileptic seizures due to oral contraceptives. DIAGNOSES: The final diagnosis was intracranial venous sinus thrombosis, acute cerebral infarction in the left parietal lobe, intracranial hypertension syndrome, and continuous epilepsy. INTERVENTIONS: The patient recovered well after active treatment. OUTCOMES: Three months after discharge, the muscle strength of the right limb of the patient was significantly increased, and no recurrence of neurological symptoms occurred. LESSONS: In conclusion, early diagnosis, correct evaluation, and standard treatment are still important challenges for CVT. Active treatment is recommended.
[Mh] Termos MeSH primário: Infarto Cerebral/etiologia
Anticoncepcionais Orais Sintéticos/efeitos adversos
Desogestrel/efeitos adversos
Epilepsia/etiologia
Trombose dos Seios Intracranianos/induzido quimicamente
[Mh] Termos MeSH secundário: Adulto
Infarto Cerebral/diagnóstico
Epilepsia/diagnóstico
Feminino
Seres Humanos
Trombose dos Seios Intracranianos/complicações
Trombose dos Seios Intracranianos/diagnóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Contraceptives, Oral, Synthetic); 81K9V7M3A3 (Desogestrel)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009383


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[PMID]:28448419
[Au] Autor:Slasky SE; Rivaud Y; Suberlak M; Tairu O; Fox AD; Ohman-Strickland P; Bilinisky E
[Ad] Endereço:From the Departments of *Radiology and †Trauma Surgery, New Jersey School of Medicine, Rutgers, The State University of New Jersey, Newark; and ‡Rutgers School of Public Health, RWJ-School of Public Health, Piscataway, NJ.
[Ti] Título:Venous Sinus Thrombosis in Blunt Trauma: Incidence and Risk Factors.
[So] Source:J Comput Assist Tomogr;41(6):891-897, 2017 Nov/Dec.
[Is] ISSN:1532-3145
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The aim of our study was to determine the incidence and risk factors of dural venous sinus thrombosis and epidural hemorrhage in the setting of a blunt trauma causing a calvarial fracture crossing a dural venous sinus. METHODS: A retrospective review of 472 blunt trauma patients with calvarial fracture crossing a dural venous sinus was performed. Two hundred ten patients who underwent computed tomography venography were identified and evaluated for the presence of dural venous sinus thrombosis and/or epidural hemorrhage. Site and displacement of fractures, as well as age, sex, Glasgow Coma Scale (GCS) score, and mechanism of injury, were considered for potential predictive value of thrombosis and/or epidural hemorrhage. RESULTS: We found a 23% incidence of dural venous sinus thrombosis in patients with a fracture traversing a dural venous sinus. Significant predictors of thrombosis included temporal fracture (38% incidence) and skull base fracture (31% incidence). Occipital fracture not involving the skull base was associated with a significantly decreased risk of thrombosis, with an incidence of 9%. Decreased GCS score and fall from height greater than 10 feet additionally predicted dural venous sinus thrombosis. Significant predictors of epidural hemorrhage included parietal fractures and displaced fractures, although a large percentage of nondisplaced fractures in other bones demonstrated epidural hemorrhage as well. CONCLUSIONS: Dural venous sinus thrombosis in the setting of blunt trauma with a calvarial fracture crossing a dural venous sinus has an incidence of 23%. Increased suspicion for thrombosis is warranted in patients with temporal or skull base fractures, low GCS score, and recent fall from great height.
[Mh] Termos MeSH primário: Cavidades Cranianas
Hematoma Epidural Craniano/epidemiologia
Hematoma Epidural Craniano/etiologia
Trombose dos Seios Intracranianos/epidemiologia
Trombose dos Seios Intracranianos/etiologia
Fraturas Cranianas/complicações
Ferimentos não Penetrantes/complicações
[Mh] Termos MeSH secundário: Adulto
Feminino
Escala de Coma de Glasgow
Hematoma Epidural Craniano/diagnóstico por imagem
Seres Humanos
Incidência
Masculino
Flebografia/métodos
Estudos Retrospectivos
Fatores de Risco
Trombose dos Seios Intracranianos/diagnóstico por imagem
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE
[do] DOI:10.1097/RCT.0000000000000620


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[PMID]:29068869
[Au] Autor:Park KM; Yang EJ; Lim YT
[Ad] Endereço:Department of Pediatrics, Pusan National University Children's Hospital, Yangsan, Korea.
[Ti] Título:Dural Venous Sinus Thrombosis and Pulmonary Embolism Following Immunoglobulin Treatment in Pediatric Patient With Immune Thrombocytopenic Purpura.
[So] Source:J Pediatr Hematol Oncol;39(8):e508-e511, 2017 Nov.
[Is] ISSN:1536-3678
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Intravenous immunoglobulin (IVIG) is a widely used agent as the first choice of treatment of immune thrombocytopenic purpura (ITP). IVIG has several side effects, but it is a relatively safe treatment. Life-threatening thrombosis has been reported in adults and rarely in children. We report a case of a 14-year-old boy with dural venous sinus thrombosis and pulmonary embolism after treatment with IVIG for ITP. The patient was treated with low-molecular-weight heparin followed by warfarin and the symptoms were recovered. If a patient with ITP shows mental change or respiratory difficulty, we should consider thrombosis as well as hemorrhage.
[Mh] Termos MeSH primário: Embolia Pulmonar/diagnóstico
Embolia Pulmonar/etiologia
Púrpura Trombocitopênica Idiopática/complicações
Trombose dos Seios Intracranianos/diagnóstico
Trombose dos Seios Intracranianos/etiologia
[Mh] Termos MeSH secundário: Adolescente
Anticoagulantes/uso terapêutico
Biópsia
Medula Óssea/patologia
Testes Hematológicos
Heparina de Baixo Peso Molecular/uso terapêutico
Seres Humanos
Imunoglobulinas Intravenosas/administração & dosagem
Angiografia por Ressonância Magnética
Masculino
Embolia Pulmonar/tratamento farmacológico
Púrpura Trombocitopênica Idiopática/diagnóstico
Púrpura Trombocitopênica Idiopática/terapia
Trombose dos Seios Intracranianos/tratamento farmacológico
Tomografia Computadorizada por Raios X
Resultado do Tratamento
Trombose Venosa/diagnóstico
Trombose Venosa/etiologia
Varfarina/uso terapêutico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anticoagulants); 0 (Heparin, Low-Molecular-Weight); 0 (Immunoglobulins, Intravenous); 5Q7ZVV76EI (Warfarin)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171103
[Lr] Data última revisão:
171103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171026
[St] Status:MEDLINE
[do] DOI:10.1097/MPH.0000000000000841


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[PMID]:28732458
[Au] Autor:Castaño C; Cubells C; Remollo S; García-Sort MR; Terceño M
[Ad] Endereço:1 Interventional Neuroradiology Unit, Hospital Universitario Germans Trias i Pujol, Badalona, Universidad Autónoma de Barcelona, Barcelona, Spain.
[Ti] Título:Use of a complete autologous blood recovery system (the Sorin Xtra® Autotransfusion System) during mechanical thrombectomy of extensive cerebral venous sinus thrombosis.
[So] Source:Interv Neuroradiol;23(5):531-537, 2017 Oct.
[Is] ISSN:2385-2011
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Background The endovascular therapy for cerebral venous sinus thrombosis (CVST) is currently accepted as a second-line treatment for patients who have failed or those in whom systemic anticoagulation is contraindicated or in a subgroup of patients presenting with rapid neurologic deterioration. A number of different mechanical and pharmacologic endovascular strategies have been reported, either as separate or combined approaches. These new catheters and aspiration systems have a high power and vacuum capacity, which carries a risk of anemization of the patient and hypovolemic shock, being necessitating the transfusion of the patient. Material and methods Because of the problems that donor blood transfusion can bring, we describe the use of a Sorin Xtra® Autotransfusion System (ATS). This complete autologous blood recovery system was designed for use in procedures where medium- to high-volume blood loss occurs, such as major surgeries. We have adapted it to recover all the blood aspirated during the mechanical thrombectomy procedures of the dural cerebral venous sinuses, since they are procedures that can cause a significant loss of blood. One advantage to this is the patient receives his or her own blood instead of donor blood, so there is no risk of contracting outside diseases or transfusion reactions. Conclusions This technical note describes a novel and previously unpublished technical approach to CVST that can be immediately applied to clinical practice. It also raises awareness among the interventional neuroradiologist and anesthesiologist communities about novel, potentially lifesaving endovascular treatments in patients with extensive CVST.
[Mh] Termos MeSH primário: Transfusão de Sangue Autóloga/instrumentação
Recuperação de Sangue Operatório/instrumentação
Trombose dos Seios Intracranianos/terapia
Trombectomia/métodos
[Mh] Termos MeSH secundário: Angiografia Cerebral
Terapia Combinada
Traumatismos Craniocerebrais/complicações
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Trombose dos Seios Intracranianos/diagnóstico por imagem
Trombose dos Seios Intracranianos/etiologia
Tomografia Computadorizada por Raios X
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171108
[Lr] Data última revisão:
171108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170723
[St] Status:MEDLINE
[do] DOI:10.1177/1591019917720908


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[PMID]:28692372
[Au] Autor:Sriram N; Saifee TA
[Ad] Endereço:Anaesthetic Registrar, Department of Anaesthesia and Intensive Care, Royal Free Hospital, London NW3 2QG.
[Ti] Título:Cerebral venous sinus thrombosis.
[So] Source:Br J Hosp Med (Lond);78(7):C98-C102, 2017 Jul 02.
[Is] ISSN:1750-8460
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Trombose dos Seios Intracranianos/diagnóstico
[Mh] Termos MeSH secundário: Fatores Etários
Anticoagulantes/uso terapêutico
Infecções do Sistema Nervoso Central/epidemiologia
Angiografia Cerebral
Descompressão Cirúrgica
Seres Humanos
Hidrocefalia/etiologia
Hipertensão Intracraniana/etiologia
Angiografia por Ressonância Magnética
Fatores de Risco
Convulsões/etiologia
Fatores Sexuais
Trombose dos Seios Intracranianos/complicações
Trombose dos Seios Intracranianos/epidemiologia
Trombose dos Seios Intracranianos/terapia
Trombectomia
Terapia Trombolítica
Trombofilia/epidemiologia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anticoagulants)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170711
[St] Status:MEDLINE
[do] DOI:10.12968/hmed.2017.78.7.C98


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[PMID]:28660695
[Au] Autor:Ghanem KM; Dhayni RM; Al-Aridi C; Tarek N; Tamim H; Chan AKC; Saab R; Abboud MR; El-Solh H; Muwakkit SA
[Ad] Endereço:Department of Pediatrics and Adolescent Medicine, Hematology Oncology Service, Children's Cancer Center of Lebanon, American University of Beirut, Beirut, Lebanon.
[Ti] Título:Cerebral sinus venous thrombosis during childhood acute lymphoblastic leukemia therapy: Risk factors and management.
[So] Source:Pediatr Blood Cancer;64(12), 2017 Dec.
[Is] ISSN:1545-5017
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Cerebral sinus venous thrombosis (CSVT) is a rare but serious complication of childhood acute lymphoblastic leukemia (ALL) therapy. No available consensus exists regarding its risk factors and appropriate management due to the rarity of cases. PROCEDURES: Out of 209 ALL patients aged 1-21 years treated at the Children's Cancer Center of Lebanon between May 2002 and May 2015, 13 developed CSVT during therapy. Patient characteristics, clinical management, and outcomes were studied. RESULTS: The incidence of CSVT was 6.2% (95% confidence interval [CI]: 3.4-10.4). Using univariate analysis, increased risk of CSVT was observed with age >10 years (odds ratio [OR]: 3.56, 95% CI: 1.13-11.2), T-cell immunophenotype (OR: 4.14, 95% CI: 1.16-14.7), and intermediate/high risk disease (OR: 3.4, 95% CI: 1.03-11.7). The only statistically significant risk factor by multivariate analysis was the treatment as per the intermediate-/high-risk protocol (HR: 15.6, 95% CI: 1.43-171.3). Most cases (77%) occurred in the postinduction phases of treatment while receiving a combination of asparaginase and dexamethasone rather than prednisone. Treatment with low molecular weight heparin (LMWH) for a minimum of 3 months and until significant radiological improvement is observed resulted in 100% survival rate. All but one patient had complete neurological recovery. CONCLUSIONS: CSVT is an important complication of childhood ALL therapy. Postinduction combined asparaginase and dexamethasone intensive treatment for intermediate-/high-risk patients was the most important risk factor. Treatment with LMWH for a minimum of 3 months, and until asparginase therapy is over, with major radiological improvement seems to be effective and feasible.
[Mh] Termos MeSH primário: Leucemia-Linfoma Linfoblástico de Células Precursoras/complicações
Trombose dos Seios Intracranianos/etiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Asparaginase/uso terapêutico
Criança
Pré-Escolar
Feminino
Heparina de Baixo Peso Molecular/uso terapêutico
Seres Humanos
Lactente
Modelos Logísticos
Masculino
Leucemia-Linfoma Linfoblástico de Células Precursoras/tratamento farmacológico
Estudos Retrospectivos
Fatores de Risco
Trombose dos Seios Intracranianos/tratamento farmacológico
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Heparin, Low-Molecular-Weight); EC 3.5.1.1 (Asparaginase)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170630
[St] Status:MEDLINE
[do] DOI:10.1002/pbc.26694


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[PMID]:28490684
[Au] Autor:Ishihara M; Satoh K; Hanaoka M; Matsuzaki K; Matsuda T; Miyake H; Niki H
[Ad] Endereço:Department of Neurosurgery, Tokushima Red Cross Hospital.
[Ti] Título:[Cerebral Venous Sinus Thrombosis Following Cisplatin-Based Chemotherapy for Testicular Tumor].
[So] Source:No Shinkei Geka;45(5):417-422, 2017 May.
[Is] ISSN:0301-2603
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:A man in his 30s who presented with an enlarged right testicle was diagnosed with a germ cell tumor via orchiectomy. Adjuvant chemotherapy with cisplatin, etoposide and bleomycin(BEP)was initiated. He developed a headache 8 days later, followed by neurological deficits 10 days later. Magnetic resonance imaging(MRI)and magnetic resonance venography(MRV)showed thrombotic occlusion at the superior sagittal sinus. Anticoagulant therapy with heparin was initiated. However, a generalized epileptic seizure occurred 11 days later, and an antiepileptic drug therapy was initiated. The headache and neurological deficits gradually improved, and MRI findings showed that the superior sagittal sinus had re-canalized. The main cause of the sinus thrombosis in this patient was considered dehydration and cisplatin-induced hypercoagulability. Five courses of BEP therapy were carried out with care to avoid dehydration. The patient has remained free of testicular tumor recurrence, metastasis, and cerebral sinus thrombosis for 2 years. Cisplatin-based chemotherapy is an established risk factor for venous thromboembolism(VTE), and cerebral sinus thrombosis is a rare but dangerous complication. Therefore, cerebral sinus thrombosis should be considered when patients with testicular cancer who undergo cisplatin-based chemotherapy start to develop neurological symptoms. Clinicians should be aware of this treatable complication.
[Mh] Termos MeSH primário: Antineoplásicos/efeitos adversos
Cisplatino/efeitos adversos
Cavidades Cranianas/diagnóstico por imagem
Neoplasias Embrionárias de Células Germinativas/tratamento farmacológico
Trombose dos Seios Intracranianos/diagnóstico por imagem
Neoplasias Testiculares/tratamento farmacológico
[Mh] Termos MeSH secundário: Adulto
Anticoagulantes/uso terapêutico
Antineoplásicos/uso terapêutico
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico
Cisplatino/uso terapêutico
Heparina/uso terapêutico
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Trombose dos Seios Intracranianos/induzido quimicamente
Trombose dos Seios Intracranianos/tratamento farmacológico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anticoagulants); 0 (Antineoplastic Agents); 9005-49-6 (Heparin); Q20Q21Q62J (Cisplatin)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170512
[St] Status:MEDLINE
[do] DOI:10.11477/mf.1436203525


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[PMID]:28434771
[Au] Autor:Fernandez A; Nair V; Mckeone A; Ho J
[Ad] Endereço:Providence St. Peter Hospital, 413 Lily Rd NE Olympia, WA 98506, United States. Electronic address: andreacamille.fernandez@providence.org.
[Ti] Título:Pharmacological management of cerebral venous sinus thrombosis with full-dose IV heparin infusion and its clinical outcomes.
[So] Source:Am J Emerg Med;35(8):1208.e1-1208.e3, 2017 Aug.
[Is] ISSN:1532-8171
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To report a case of successful use of unfractionated heparin (UFH) infusion to treat cerebral venous sinus thrombosis (CVST). CASE SUMMARY: A 54-year-old female with a history of ovarian cancer addressed through palliative care, presents to the Emergency Department complaining of nausea, vomiting and headache for the last 72h. The patient was on a home regimen of enoxaparin 1.5mg/kg subcutaneously daily for recent pulmonary embolism and deep vein thrombosis that developed while on warfarin therapy previously. CT scan showed superior sagittal sinus thrombosis. UFH infusion was initiated and continued for 48h until the headache dissipated. DISCUSSION: Stable CVST may be treated with UFH infusion; however, there is limited literature that describes UFH dosing for CVST management. CONCLUSIONS: UFH may be considered as one of the pharmacological agents to manage CVST. The dosing for UFH bolus and infusion is similar to treatment dose for pulmonary embolism/deep vein thrombosis management with goal anti-Xa between 0.3 and 0.7units/mL.
[Mh] Termos MeSH primário: Anticoagulantes/uso terapêutico
Enoxaparina/uso terapêutico
Heparina/uso terapêutico
Embolia Pulmonar/tratamento farmacológico
Trombose dos Seios Intracranianos/diagnóstico
Trombose Venosa/prevenção & controle
Varfarina/uso terapêutico
[Mh] Termos MeSH secundário: Comorbidade
Esquema de Medicação
Feminino
Seres Humanos
Infusões Intravenosas
Meia-Idade
Trombose dos Seios Intracranianos/tratamento farmacológico
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anticoagulants); 0 (Enoxaparin); 5Q7ZVV76EI (Warfarin); 9005-49-6 (Heparin)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170425
[St] Status:MEDLINE


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[PMID]:28410605
[Au] Autor:Ferreira BFA; Rodriguez EEC; Prado LLD; Gonçalves CR; Hirata CE; Yamamoto JH
[Ad] Endereço:Department of Ophthalmology, University of Sao Paulo, Dr. Eneas Carvalho de Aguiar Avenue, Sao Paulo, 255, Brazil. brunofaferreira@gmail.com.
[Ti] Título:Frosted branch angiitis and cerebral venous sinus thrombosis as an initial onset of neuro-Behçet's disease: a case report and review of the literature.
[So] Source:J Med Case Rep;11(1):104, 2017 Apr 15.
[Is] ISSN:1752-1947
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Frosted branch angiitis is a rare, severe condition. It can be either a primary or a secondary condition and is characterized by rapid deterioration of vision and fulminant retinal vasculitis that manifests as diffuse sheathing of retinal vessels, macular edema, papillitis, vitritis and anterior uveitis. We aimed to describe a case of frosted branch angiitis and cerebral venous sinus thrombosis as an initial neuro-Behçet's disease onset. Diagnosis of Behçet's disease was based on the current 2014 International Criteria for Behçet's Disease and the International consensus recommendation criteria for neuro-Behçet's disease. In addition, a literature review using search parameters of "frosted branch angiitis", "Behçet" and "neuro-Behçet" in the PubMed database is presented. CASE PRESENTATION: A 28-year-old Brazilian pardo woman presented to our hospital with abrupt bilateral vision loss associated with recurrent aphthous oral ulcers 6 months before visual symptom onset. A fundus examination showed bilateral widespread retinal vasculitis with venous and arterial white sheathing, optic disc swelling, macular edema, and retinal hemorrhages, leading to the diagnosis of frosted branch angiitis. An extensive systemic workup for retinal vasculitis was uneventful, except for brain magnetic resonance imaging demonstrating cerebral venous sinus thrombosis and lymphocytic aseptic meningitis. A diagnosis of neuro-Behçet's disease was made, and treatment was started with methylprednisolone therapy 1 g/day for 5 consecutive days, followed by oral mycophenolate mofetil and infliximab 5 mg/kg infusion. The patient's response was rapid, with improvement of visual acuity to hand movement and counting fingers by day 7 and final visual acuity of counting fingers and 20/130. CONCLUSIONS: Frosted branch angiitis may be associated with infectious, noninfectious, or idiopathic causes. An extensive workup should be done to exclude systemic vasculitis such as Behçet's disease. Treatment with systemic steroids must be promptly initiated in association with specific treatment aimed at inflammation control and blindness risk reduction.
[Mh] Termos MeSH primário: Síndrome de Behçet/diagnóstico
Imagem por Ressonância Magnética
Hemorragia Retiniana/diagnóstico
Vasculite Retiniana/diagnóstico
Trombose dos Seios Intracranianos/diagnóstico
Transtornos da Visão/etiologia
[Mh] Termos MeSH secundário: Adulto
Antibióticos Antineoplásicos/uso terapêutico
Síndrome de Behçet/tratamento farmacológico
Síndrome de Behçet/fisiopatologia
Feminino
Angiofluoresceinografia
Fundo de Olho
Seres Humanos
Metilprednisolona/uso terapêutico
Ácido Micofenólico/uso terapêutico
Úlceras Orais
Recuperação de Função Fisiológica
Hemorragia Retiniana/tratamento farmacológico
Hemorragia Retiniana/fisiopatologia
Vasculite Retiniana/complicações
Vasculite Retiniana/fisiopatologia
Trombose dos Seios Intracranianos/tratamento farmacológico
Trombose dos Seios Intracranianos/fisiopatologia
Resultado do Tratamento
Transtornos da Visão/fisiopatologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Antibiotics, Antineoplastic); HU9DX48N0T (Mycophenolic Acid); X4W7ZR7023 (Methylprednisolone)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170416
[St] Status:MEDLINE
[do] DOI:10.1186/s13256-017-1261-z


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[PMID]:28366060
[Au] Autor:Matsuda Y; Okada H; Chung J; Webster Crowley R; Lopes DK
[Ad] Endereço:Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois.
[Ti] Título:Novel balloon-and-aspiration method for cerebral venous sinus thrombosis: dental-floss technique.
[So] Source:Neurosurg Focus;42(4):E19, 2017 Apr.
[Is] ISSN:1092-0684
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Cerebral venous sinus thrombosis is sometimes fatal. The standard treatment for sinus thrombosis is anticoagulation, but endovascular intervention must be considered when medical treatment fails. Mechanical thrombectomy is usually required when a large clot burden exits. Unfortunately, in sinus thrombosis attributable to a clot burden larger than that in an intracranial artery, the conventional technique used for intraarterial acute stroke intervention with a stent retriever and/or aspiration is not very effective. The authors describe here their endovascular approach to mechanical thrombectomy for sinus thrombosis using aspiration combined with angioplasty balloon support.
[Mh] Termos MeSH primário: Angioplastia com Balão/métodos
Dispositivos para o Cuidado Bucal Domiciliar
Trombose dos Seios Intracranianos/terapia
Resultado do Tratamento
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Angiografia por Ressonância Magnética
Imagem por Ressonância Magnética
Masculino
Trombose dos Seios Intracranianos/diagnóstico por imagem
Trombectomia/métodos
Ativador de Plasminogênio Tecidual
Tomógrafos Computadorizados
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
EC 3.4.21.68 (Tissue Plasminogen Activator)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170424
[Lr] Data última revisão:
170424
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170404
[St] Status:MEDLINE
[do] DOI:10.3171/2017.1.FOCUS16519



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