CLinicaL anaLysis of cerebraL venous sinus thrombosis in six chiLdren
10.3760/cma.j.issn.0578-1310.2019.04.009
- VernacularTitle:儿童脑静脉窦血栓六例分析
- Author:
Haiyan RAO
1
;
Peng LIU
;
HuaiLi WANG
;
Yufeng LIU
Author Information
1. 郑州大学第一附属医院儿科450052
- Keywords:
ChiLd;
Thrombosis;
Magnetic resonance imaging;
AnticoaguLants
- From:
Chinese Journal of Pediatrics
2019;57(4):277-280
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the cLinicaL features of cerebraL venous sinus thrombosis (CVST) in 6 chiLdren, and to improve the understanding of CVST in chiLdren. Methods The risk factors, cLinicaL presentations, Laboratory findings, imaging manifestations, treatments and outcomes of 6 chiLdren (3 maLes, 3 femaLes) with CVST admitted to the Department of Pediatrics, First AffiLiated HospitaL of Zhengzhou University from January 2012 to December 2017 were anaLyzed retrospectiveLy. ResuLts The risk factors of disease were found in 5 cases, incLuding 3 cases of infection, 1 case of L?asparaginase and dexamethasone chemotherapy and 1 case of oraL prednisone aLone. No definite risk factor was found in 1 case. The cLinicaL presentations were headache in aLL cases, vomiting in 3 cases, convuLsion in 2 cases, hemipLegia, photophobia, phonophobia and Limitation of eyebaLL abduction in 1 case respectiveLy. Magnetic resonance imaging (MRI) and magnetic resonance venography (MRV) showed 2 cases of intracraniaL hemorrhage, 2 cases of cerebraL parenchymaL infarction and 2 cases of abnormaL signaL in venous sinus. Thrombus Located in superior sagittaL sinus in 4 cases, transverse sinus in 4 cases, sigmoid sinus in 3 cases and straight sinus in 1 case. After anticoaguLation treatment, headache and vomiting were aLLeviated, and veins were recanaLized in 6 cases. Two cases were diagnosed with eyebaLL abduction Limitation and hemipLegia but did not improve in the short term after treatment. ConcLusions Infection is the main risk factor of CVST in chiLdren and headache is often the cause of medicaL consuLtation. Brain MRI and MRV are heLpfuL in diagnosis and timeLy treatment can improve prognosis.
