r-n-jРоссийский неврологический журналRussian neurological journal2658-79472686-7192МИА10.30629/2658-7947-2021-26-1-39-44r-n-j-151Research ArticleИССЛЕДОВАНИЯ И КЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCLINICAL RESEARCHES AND CASE REPORTSТромбоз верхнего сагиттального синуса как источник тромбоэмболии легочной артерииSuperior sagittal sinus thrombosis as a focal point of pulmonary embolismhttps://orcid.org/0000-0001-6824-4114РамазановГ. Р.RamazanovG. R.

Москва

Moscow

ramazanovgr@sklif.mos.ruhttps://orcid.org/0000-0002-6789-8164ТалыповА. Э.TalypovA. E.

Москва

Moscow

dr.talypov@mail.ruhttps://orcid.org/0000-0001-6123-8387КаниболоцкийА. А.KanibolotskiyA. A.

Москва

Moscow

dr.kaa@mail.ruhttps://orcid.org/0000-0002-9788-592XКориговаХ. В.KorigovaKh. V.

Москва

Moscow

khadi.korigova@mail.ruhttps://orcid.org/0000-0003-0007-8054СтепановВ. Н.StepanovV. N.

Москва

Moscow

stepanovvn@sklif.mos.ruhttps://orcid.org/0000-0001-8096-5029АхматхановаЛ. Х.AkhmatkhanovаL. Kh.

Москва

Moscow

liana.akhmatkhanova@mail.ruhttps://orcid.org/0000-0001-5026-0060СинкинМ. В.SinkinM. V.

Москва

Moscow

mvsinkin@gmail.comhttps://orcid.org/0000-0003-3292-8789ПетриковС. С.PetrikovS. S.

Москва

Moscow

petrikovss@sklif.mos.ruГосударственное бюджетное учреждение здравоохранения «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»РоссияSklifosovsky Research Institute of Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentRussian Federation2021260320212613944Copyright © Рамазанов Г.Р., Талыпов А.Э., Каниболоцкий А.А., Коригова Х.В., Степанов В.Н., Ахматханова Л.Х., Синкин М.В., Петриков С.С., 20212021Рамазанов Г.Р., Талыпов А.Э., Каниболоцкий А.А., Коригова Х.В., Степанов В.Н., Ахматханова Л.Х., Синкин М.В., Петриков С.С.Ramazanov G.R., Talypov A.E., Kanibolotskiy A.A., Korigova K.V., Stepanov V.N., Akhmatkhanovа L.K., Sinkin M.V., Petrikov S.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.r-n-j.com/jour/article/view/151

Данная статья посвящена обсуждению клинического случая тромбоза верхнего сагиттального синуса, явившегося источником фатальной тромбоэмболии легочной артерии. Тромбоэмболия легочной артерии — жизнеугрожающее состояние, летальность при котором составляет до 40%. Непосредственным источником тромбоэмболии легочной артерии в большинстве случаев являются тромбозы глубоких вен нижних конечностей и таза (80–90%), реже вены верхних конечностей и правые отделы сердца.Тромбоэмболию легочной артерии у пациентов с церебральным венозным тромбозом наблюдают у 1,4% пациентов. Церебральный венозный тромбоз — цереброваскулярное заболевание, проявляющееся нарушением оттока крови вследствие остро возникшей окклюзии синусов и вен головного мозга, которое требует незамедлительного лечения с целью предотвращения развития внутричерепного кровоизлияния, венозного инфаркта, инвалидизации и летального исхода. На долю церебральных венозных тромбозов приходится примерно 0,5% всех случаев цереброваскулярных заболеваний во всем мире. В отличие от ишемического инсульта, церебральный венозный тромбоз чаще встречается у молодых пациентов. В настоящее время диагностика церебрального венозного тромбоза основана на данных нейровизуализации, а своевременное лечение приводит к снижению инвалидизации и смертности.

This article represents the discussion of a clinical case of superior sagittal sinus thrombosis as a focal point of fatal pulmonary embolism. Pulmonary embolism is a life-threatening condition, with a mortality rate of up to 40%. The direct source of pulmonary embolism is deep vein thrombosis of the lower extremities and pelvis in 80–90% of all cases. The veins of the upper extremities and venous heart cause it less often. Pulmonary embolism in patients with cerebral venous thrombosis is observed in 1.4% of patients.Cerebral venous thrombosis is a cerebrovascular disease manifested by venous outflow disorders due to acute occlusion of the sinuses and veins of the brain. It requires immediate treatment in order to prevent the development of intracranial hemorrhage, venous infarction, disability and death. Cerebral venous thrombosis accounts for approximately 0.5% of all cases of cerebrovascular disease worldwide. In contrast to ischemic stroke, cerebral venous thrombosis is more common in younger patients. Currently, the diagnosis of cerebral venous thrombosis is based on neuroimaging data, and timely treatment leads to a decrease in disability and mortality.

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The authors declare that there are no conflicts of interest present.