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MRI in neonatal dural sinus thrombosis
1Division of Pediatric Neurology, Schneider Children's Hospital, Long Island Jewish Medical Center, New Hyde Park, New York 11042.
Pediatric Neurology
|May 1, 1993
Summary
Neonatal dural sinus thrombosis, a rare condition, can cause seizures. Magnetic resonance imaging (MRI) is crucial for diagnosing and monitoring this condition in newborns, even without typical risk factors.
Area of Science:
- Neonatal neurology
- Pediatric radiology
- Vascular neurology
Background:
- Neonatal dural sinus thrombosis is an uncommon yet significant cause of neurological symptoms in newborns.
- It can manifest with seizures, macrocephaly, lethargy, and respiratory depression.
Observation:
- A term infant, lacking typical risk factors, presented with seizures.
- Computed tomography and magnetic resonance imaging confirmed dural sinus thrombosis.
Findings:
- Magnetic resonance imaging demonstrated partial resolution of the thrombosis within one week and complete resolution by three weeks.
- The study highlights the diagnostic utility of MRI in neonatal dural sinus thrombosis.
Implications:
- Clinicians should consider neonatal dural sinus thrombosis in infants with seizures or increased intracranial pressure, irrespective of risk factors or normal CT scans.
- MRI is the preferred imaging modality for diagnosis and noninvasive follow-up.
- This case contributes to understanding the natural history and prognosis of neonatal dural sinus thrombosis.