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[Intracranial venous thrombosis: reports on 11 paediatric cases]
R Bernal-Rodríguez1, R Simón de las Heras, F Mateos-Beato
1Servicio de Neurología Infantil, Hospital Universitario Doce de Octubre, Madrid, España. quelrra@yahoo.com
Revista De Neurologia
|March 21, 2008
Summary
Pediatric intracranial venous thrombosis (IVT) is often linked to infections. Anticoagulant therapy showed safety and effectiveness in acute cases, with most patients experiencing favorable outcomes.
Area of Science:
- Neurology
- Pediatrics
- Vascular Medicine
Context:
- Intracranial venous thrombosis (IVT) is a rare but serious condition in children.
- Diagnosis and management of pediatric IVT present unique challenges due to varied presentations.
Purpose:
- To detail the causes, symptoms, diagnostic methods, treatments, and outcomes of pediatric IVT cases.
- To evaluate the safety and efficacy of anticoagulant therapy in acute pediatric IVT.
Summary:
- This retrospective study analyzed 11 pediatric IVT cases (1 month to 16 years) diagnosed between 1989-2005.
- Infectious factors were common (45%), with headache and altered consciousness as frequent symptoms.
- The superior longitudinal sinus was most affected; MRI proved cost-effective for diagnosis. Anticoagulant therapy was safe and effective, with favorable prognoses in most cases.
Impact:
- Highlights the importance of considering infections as a precipitating factor in pediatric IVT.
- Suggests anticoagulant therapy is a safe and effective treatment option for acute pediatric IVT.
- Emphasizes the need for further research to confirm findings in larger pediatric cohorts.
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