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肥厚性硬脑膜炎(HCP)是一种少见的中枢神经系统慢性无菌性炎性疾病,可累及颅底、大脑镰、小脑幕、静脉窦等多部位,其中病因不明的一类肥厚性硬脑膜炎又称为特发性肥厚性硬脑膜炎(IHCP)。临床主要表现为慢性头痛和多颅神经损害,部分病例可合并静脉窦狭窄/闭塞或静脉窦血栓,严重时危急生命。现将本科诊断的一例特发性肥厚性硬脑膜炎合并颅内静脉窦狭窄报道如下,并结合文献分析静脉窦血栓形成原因、临床表现、影像学特征,对临床诊治提出建议。
Hypertrophic dura meningitis (HCP) is a rare central nervous system chronic aseptic inflammatory disease, involving the skull base, falx, cerebellum, sinus and other parts, of which a class of unknown etiology of a type of hypertrophic Meningitis is also known as idiopathic hypertrophic dura meningitis (IHCP). Clinical manifestations of chronic headache and multiple cranial nerve damage, some cases may be complicated by sinus stenosis / occlusion or sinus thrombosis, severe life-threatening. Now an undergraduate diagnosis of idiopathic hypertrophic dura meningitis complicated with intracranial sinus stenosis reported below, combined with literature analysis of causes of venous sinus thrombosis, clinical manifestations, imaging features, make recommendations for clinical diagnosis and treatment.