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Pediatric Radiology

, Volume 43, Issue 2, pp 173–188 | Cite as

Cerebral sinovenous thrombosis in pediatric practice

  • Gary L. Hedlund
Minisymposium

Abstract

Cerebral sinovenous thrombosis (CSVT) in the pediatric population is a relatively uncommon yet under-appreciated and potentially life-threatening neurological condition. Early symptoms and signs are often vague and the clinician requesting a cranial imaging study might not even suspect sinovenous thrombosis. If left undiagnosed, or if the diagnosis of CSVT is delayed, progressive neurological deterioration, coma and death can follow. The purpose of this review is to highlight pertinent development of the cerebral venous system, discuss the causal factors of cerebral sinovenous thrombosis in the pediatric population, review practical imaging strategies using cranial sonography augmented with color and pulsed Doppler, unenhanced brain CT, CT venography, cerebral MRI, and MR venography (MRV). Finally, this review will illustrate the imaging features of sinovenous thrombosis, including a discussion of the common causes of false-positive and false-negative CT and MRI studies.

Keywords

Cerebral sinovenous thrombosis CT venography 2-D time-of-flight MR venography 3-D SPGR Children 

Notes

Acknowledgments

I would like to thank Ms. Starlyn Brandt for manuscript preparation and acknowledge the following colleagues for referring cases for this review: Drs. Richard Boyer, Kevin Moore, John Rampton, Dave Dansie and Logan Mclean.

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  1. 1.Department of Medical Imaging, Primary Children’s Medical CenterUniversity of Utah School of MedicineSalt Lake CityUSA

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