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A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia
Published on: August 18, 2015
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Isolated unilateral thalamic venous infarct in a toddler
Bharat Hosur1, Rahul Sinha2, Narendra Kumar Jain1
1Radiodiagnosis, Command Hospital Panchkula, Panchkula, India.
BMJ Case Reports
|April 1, 2022
Summary
Isolated deep cerebral venous thrombosis (CVT) in children is rare. This case highlights an unusual presentation of right thalamic venous infarct due to bilateral internal cerebral vein thrombosis, successfully treated conservatively.
Area of Science:
- Pediatric Neurology
- Neuroradiology
- Vascular Neurology
Background:
- Deep cerebral venous thrombosis (CVT) is uncommon in children, with typical presentations involving bilateral thalamic infarction.
- Atypical CVT phenotypes can mimic other neurological conditions like infections, tumors, or vascular malformations.
Observation:
- A rare case of isolated right thalamic acute venous infarct in a toddler is presented.
- The infarct was secondary to bilateral internal cerebral vein (ICV) thrombosis, an unusual cause for unilateral thalamic damage.
Findings:
- The study details a unique case of unilateral thalamic infarction due to bilateral ICV thrombosis.
- Successful conservative management was achieved through prompt diagnosis of this rare deep CVT variant.
Implications:
- Recognizing atypical deep CVT presentations is crucial for appropriate and timely treatment in pediatric patients.
- Early diagnosis can prevent unnecessary investigations and interventions, guiding effective conservative management strategies.
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