Abstract
Case report
We present the case of an 8-month-old infant who was admitted to our Neurosurgery Department with venous infarction related to sagittal sinus thrombosis. The infarction was radiologically detected 5 days after the baby had undergone surgery for acute subdural hematoma due to a closed head injury.
Results and conclusions
Cerebrovascular venous thrombosis is a rare clinical entity that has multiple causes and variable presenting symptoms. There is no consensus on overall strategy concerning surgical, radiosurgical, or medical therapy (anti-coagulation, thrombolytic, and anti-edema treatment), and exactly how, when, or in which cases these should be applied. The treatment planning should be based on clinical findings, and should be modified according to the clinical course. In this case, the clinical and radiological findings regressed with symptomatic treatment alone.
Similar content being viewed by others
References
Barron TF, Gusnard DA, Zimmerman RA, Clancy RR (1992) Cerebral venous thrombosis in neonates and children. Pediatr Neurol 8:112–116
Bergui M, Bradac GB, Daniele D (1999) Brain lesions due to cerebral venous thrombosis do not correlate with sinus involvement. Neuroradiology 41:419–424
Bousser MG (1999) Cerebral venous thrombosis. Nothing, heparin, or local thombolysis? Stroke 30:481–483
Bousser MG (2000) Cerebral venous thrombosis: diagnosis and treatment. J Neurol 247:252–258
Carvalho KS, Bodensteiner JB, Connolly PJ, Garg BP (2001) Cerebral venous thrombosis in children. J Child Neurol 16:574–580
Ekseth K, Bostrom S, Vegfors M (1998) Reversibility of severe thrombosis with open surgical thrombectomy combined with local infusion of tissue plasminogen activator: technical case report. Neurosurgery 43:960–965
Greenberg MS (2001) Handbook of neurosurgery, 5th edn. Thieme, New York, pp 851–854
Huisman TA, Holzmann D, Martin E, Willi UV (2001) Cerebral venous thrombosis in childhood. Eur Radiol 11:1760–1765
Kirsten PN, Forbes JG, Hiserman JE (2001) Evidence for cytotoxic edema in the pathogenesis of cerebral venous infarction. Am J Neuroradiol 22:450–455
Medlock MD, Olivero WC, Hanigan WC, Wright RM, Winek SJ (1992) Children with cerebral venous thrombosis diagnosed with magnetic resonance imaging and magnetic resonance angiography. Neurosurgery 31:870–876
Peeters E, Stadnik T, Bissay F, Schmedding E, Osteaux M (2001) Diffusion-weighted MR imaging of an acute venous stroke: case report. Am J Neuroradiol 22:1949–1952
Rich C, Gill JC, Wernick S, Konkol RJ (1993) An unusual cause of cerebral venous thrombosis in a four-year-old child. Stroke 24:603–605
Taha JM, Crone KR, Berger TS, Becket WW, Prenger EC (1993) Sigmoid sinus thrombosis after closed head injury in children. Neurosurgery 32:541–546
Witt O, Pereira PL, Tillman W (1999) Severe cerebral venous thrombosis and dural arteriovenous fistula in an infant with protein S deficiency. Childs Nerv Syst 15:128–130
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Erdogan, B., Caner, H., Volkan Aydin, M. et al. Hemispheric cerebrovascular venous thrombosis due to closed head injury. Childs Nerv Syst 20, 239–242 (2004). https://doi.org/10.1007/s00381-003-0845-7
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00381-003-0845-7