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Posttraumatic dural sinus thrombosis in children.

D Stiefel1, G Eich, P Sacher

  • 1Department of Pediatric Surgery, University Children's Hospital Zürich, Switzerland.

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|April 19, 2000
PubMed
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Posttraumatic dural sinus thrombosis (DST) in children is uncommon after head injury. Conservative management is recommended, with most children experiencing uneventful recovery and sinus recanalization.

Area of Science:

  • Pediatric Neurology
  • Neuroradiology
  • Trauma Surgery

Background:

  • Posttraumatic dural sinus thrombosis (DST) is a rare complication of head injury in children.
  • Limited literature exists on the incidence and management of pediatric traumatic DST.

Purpose of the Study:

  • To investigate the occurrence and outcomes of posttraumatic dural sinus thrombosis in pediatric patients.
  • To evaluate the efficacy of conservative management for traumatic DST in children.

Main Methods:

  • Retrospective review of 131 children with head injuries treated between 1994-1996.
  • Diagnosis of DST based on cranial computed tomography (CT) scans, including noncontrast and enhanced CT.
  • Conservative management approach for all identified cases of DST.

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Main Results:

  • DST was diagnosed in 8 out of 131 (6.1%) children with head trauma.
  • Five cases were associated with mild head injury, and three with severe head injury.
  • All patients were managed conservatively with uneventful recovery; sinus recanalization occurred in most within 3-6 months.

Conclusions:

  • Traumatic dural sinus thrombosis in children is rare and often associated with skull fractures.
  • Conservative management appears to be effective and safe for pediatric traumatic DST.
  • Surgical or medical intervention is generally not indicated for traumatic DST in this population.