Motnja zavesti na terenu - primer bolnice z malignim potekom tromboze možganskih sinusov: prikaz primera bolnika = Impairment of consciousness in a prehospital setting - patient with malignant course of cerebral venous sinus thrombosis: case report
Korošec, Helena, 1965- ...
V našem prispevku predstavljamo primer 29-letne bolnice v prvem trimesečju nosečnosti z motnjo zavesti, ki je nastopila že na terenu. Vzrok je bila možganska venska tromboza. Tromboza možganskih ven ...in sinusov je redka bolezen, saj povzroča manj kot 1 % vseh možganskih kapi in najpogosteje prizadene mlade odrasle in otroke. Za klinično sliko je značilen širok klinični spekter simptomov od glavobola, žariščnih nevroloških izpadov, do krčev ter motenj zavesti. Diagnoza bolezni je še vedno pogosto spregledana in prepozno postavljena prav zaradi pestre klinične slike, počasnega poteka in nepredvidljivega akutnega poslabšanja bolezni. V našem primeru je bil maligni potek posledica obsežne venske tromboze in sekundarne znotrajmožganske krvavitve ter progresivnega poslabševanja, kljub ustrezni, a neučinkoviti antikoagulantni in antiedematozni terapiji. Sklepamo, da je do tromboze venskih sinusov prišlo zaradi pomanjkanja aktivnosti proteina S v povezavi z zgodnjo nosečnostjo.
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