摘要
目的分析肥厚性硬脑膜炎(HCP)的临床特点,提高对该病的认识。方法对2例特殊的HCP患者的临床资料结合文献进行回顾性分析。结果 2例HCP患者均以头痛起病,其中1例初诊为静脉窦血栓形成,经治疗未见好转;另1例逐渐出现面神经麻痹和硬膜下积液,综合分析临床特点、影像学之后,最终确诊为HCP。经激素治疗后取得良好疗效。结论 HCP患者可发生静脉窦血栓形成和硬膜下积液。HCP少见,临床缺乏特征性,易被漏诊、误诊,应引起临床医生重视。
Aim To analyze the clinical features of hypertrophic cranial pachymeningitis（HCP） and to improve the recognition about it. Methods The clinical details of 2 patients with special HCP were studied retrospectively, and the literature was reviewed. Results Two cases of HCP that began with headache were reported. One patient with an initial diagnosis of venous sinus thrombosis didn＇t improve his condition after the treatment. The other patient gradually manifested facial paralysis and subdural effusion. The clinical characteristics and radiologic evaluation were analyzed synthetically. HCP was definitely diagnosed. Corticosteroid therapy was used and good efficiency was achieved. Conclusion HCP was complicated by venous sinus thrombosis and subdural effusion, though rare, which should be paid attention.
出处
《中国临床神经科学》
2016年第1期46-51,共6页
Chinese Journal of Clinical Neurosciences
关键词
肥厚性硬脑膜炎
静脉窦血栓形成
硬膜下积液
hypertrophic cranial pachymeningitis
venous sinus thrombosis
subdural effusion
