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Superior sagittal sinus thrombosis in neonates
Y Konishi1, M Kuriyama, M Sudo
1Department of Pediatrics, Fukui Medical School, Japan.
Pediatric Neurology
|July 1, 1987
Summary
Superior sagittal sinus thrombosis in newborns can cause neurological issues like seizures. Digital subtraction angiography is a valuable tool for diagnosing this condition in neonates.
Area of Science:
- Neurology
- Pediatrics
- Radiology
Background:
- Superior sagittal sinus thrombosis (SSST) is a rare but serious condition in neonates.
- Prompt diagnosis and management are crucial for favorable outcomes.
Observation:
- Three cases of neonatal SSST presented with neurological signs such as bulging anterior fontanel and clonic hemi-convulsions.
- Neonatal polycythemia was identified as a potential contributing factor in two patients.
- Computed tomography (CT) showed massive cerebral edema and slit-like ventricles in two neonates.
Findings:
- CT scans also revealed increased density in the torcular Herophili and straight sinus in two cases.
- Cerebral angiography confirmed the diagnosis in one patient.
- Digital subtraction angiography (DSA) successfully diagnosed SSST in the other two neonates.
Implications:
- DSA offers a significant advantage for diagnosing cerebral sinus thrombosis in the neonatal period.
- Early detection and intervention using advanced imaging like DSA can improve patient prognosis.
- Understanding the role of polycythemia may aid in preventing SSST in at-risk newborns.