A rare case of cortical venous thrombosis(CVT)
Abstract
Cortical venous thrombosis is a rare type of cerebrovascular disease that mostly affects children and young adults.superior sagittal sinus thrombosis is the most common type.CVT in children is multifactorial.A prothrombotic risk factor or direct cause is identified in about 85 of cases with sinus thrombosis.The widespread use of neuroimaging now allows for early diagnosis and treatment.CVT is more common than previously thought with favourable outcome and low mortality rate.MRI with T1 T2 ,fluid-attenuated inversion recovery and T2 sequences with MRV are the best diagnostic methods.Heparin is the first line treatment ,but in few cases more aggressive treatments such as local intravenous thrombolysis,mechanical thrombectomy and decompressive hemicraniectomy may be required.
Full Text:
PDFReferences
REFERENCES:
deVeber G, Andrew M, Adams C, et al. Cerebral sinovenous thrombosis in children. N Engl J Med. 2001; 345: 417–423.
Bousser MG, Russell RR. Cerebral venous thrombosis. In: Major Problems in Neurology. London, UK: WB Saunders; 1997.Vol 33.
Mross C, Klemm E. Acute mastoiditis in children: retrospective study 1979–1998. Otorhinolaryngol Nova. 2000; 10: 187–193.
Kuczkowski J, Mikaszewski B. Intracranial complications of acute and chronic mastoiditis: report of two cases in children. Int J Pediatr Otorhinolaryngol. 2001; 60: 227–237.
Keene DL, Matzinger MA, Jacob PJ, et al. Cerebral vascular event associated with ulcerative colitis in children. Pediatr Neurol. 2001; 24:238–243.
Visudtibhan A, Visudhiphan P, Chiemchanya S.Cavernous sinus thrombophlebitis in children. Pediatr Neurol. 2001; 24: 123–127.
Gebara BM, Goetting FMG, Wang AM. Dural sinus thrombosis complicating subclavian vein catheterization: treatment with local thrombolysis. Pediatrics. 1995; 95: 138 –140.
Lockman LA, Mastri A, Priest JR, et al. Dural venous thrombosis in acute lymphoblastic leukemia. Pediatrics. 1980; 66: 943–947.
Uziel Y, Laxer RM, Blaser S, et al. Cerebral vein thrombosis in childhood systemic lupus erythematosus. J Pediatr. 1995; 126: 722–727
Pirogovsky A, Adi M, Dagan M, et al. Superior sagittal sinus thrombosis: a rare complication in a child with nephrotic syndrome.Pediatr Radiol. 2001; 31: 709–711.
Barron TF, Gusnard DA, Zimmerman RA, et al. Cerebral venous thrombosis in neonates and children. Pediatr Neurol. 1992; 8: 112–116.
Hunt RW, Badawi N, Laing S, et al. Pre-eclampsia: a predisposing factor for neonatal venous sinus thrombosis? Pediatr Neurol. 2001;25: 242–246.
Cocharan FB, Packman S. Homocystinuria presenting as sagittal sinus thrombosis. Eur Neurol. 1992; 33: 1–3.
Buoni S, Molinelli M, Mariottini A, et al. Homocystinuria with transverse sinus thrombosis. J Child Neurol. 2001; 16: 688–690.
Ramenghi LA, Gill BJ, Tanner SF, et al. Cerebral venous thrombosis, intraventricular haemorrhage and white matter lesions in a preterm newborn with factor V (Leiden) mutation. Neuropediatrics.2002; 33: 97–99.
deVeber G, Monagle P, Chan A, et al. Prothrombotic disorders in infants and children with cerebral thromboembolism. Arch Neurol.1998; 55: 1539–1543.
Ferro JM, Canhao P, Stam J, Bousser MG, Barinagarrementeria F; ISCVT Investigators. Prognosis of cerebral vein and dural sinus thrombosis: results of the International Study on Cerebral Vein and Dural Sinus Thrombosis (ISCVT). Stroke. 2004; 35: 664–670.
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
An initiative of The Tamil Nadu Dr M.G.R. Medical University