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Cerebral sinus thrombosis in a 6-year-old boy after a minor head injury

David C Lebowitz1, Melissa W Ko, Ella K Cameron

  • 1From the *Florida Hospital Medical Center, Orlando, FL; †SUNY Upstate Medical University, Syracuse, NY; and ‡Children's Mercy Hospital, Kansas City, MO.

Pediatric Emergency Care
|March 5, 2014
PubMed

Insights

Posttraumatic cerebral sinus thrombosis is rare in children after head injuries. This case highlights the importance of careful evaluation and considering anticoagulation with specialists.

Area of Science:

  • Neurology
  • Pediatrics
  • Vascular Medicine

Background:

  • Posttraumatic cerebral sinus thrombosis (TCST) is an infrequent neurological complication.
  • TCST is seldomly associated with minor or closed head injuries in pediatric populations.

Observation:

  • A 6-year-old boy presented with symptoms suggestive of cerebral sinus thrombosis following a seemingly minor head injury.
  • Clinical presentation and neuroimaging findings were meticulously documented.

Findings:

  • The case illustrates the diagnostic challenges and clinical course of TCST in a pediatric patient.
  • Neuroimaging confirmed cerebral sinus thrombosis despite the minor nature of the initial trauma.

Implications:

  • This case underscores the necessity of serial neurological assessments and vigilant observation in pediatric head injury cases.
  • Anticoagulation decisions require careful consideration and consultation with hematology experts.

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