脑静脉窦血栓形成(CVST)是一少见的脑血管病,可由多种原因引起。本文报道一例男性健美运动员长期应用雄激素后所致CVST。 患者男性,31岁。以健身锻练时突然剧烈头痛、呕吐2小时而入院。定向力可,倦睡,右侧中枢性面瘫,因视乳头水肿双眼视力减退。脑CT平扫显示上矢状窦—三角形致密影,直窦和左横窦呈高密度灶。住院4天后,行脑血管造影示上述静脉窦完全阻塞;住院8天,MRI(T_1和T_2加权)显示上矢状窦、左横窦和颈静脉上部有高信号。住院时血清黄体激素< Cerebral venous sinus thrombosis (CVST) is a rare form of cerebrovascular disease that can be caused by a variety of causes. This article reports a male bodybuilder after long-term use of androgen caused by CVST. Patient male, 31 years old. Suddenly severe headache with fitness training, vomiting for 2 hours and admitted to hospital. Directional force, drowsiness, the right side of the central paralysis, visual acuity due to binocular edema. Brain CT plain showed superior sagittal sinus - dense triangle, straight sinus and left transverse sinus showed high density lesions. Four days after admission, cerebral angiography showed complete occlusion of the sinus; 8 days postoperatively, MRI (T_1 and T_2 weighted) showed a high signal in the superior sagittal sinus, the left transverse sinus and the jugular vein. Serum luteinizing hormone in hospital