Cerebral sinovenous thrombosis in children under two months old and sequels

Abstract

Background: cerebral venous thrombosis (CVT) is a rare condition with varied symptoms that can be misdiagnosed. It can have a high mortality rate and severe neurological sequelaes.

Objective: To determine the clinical, laboratorial and tomographic presentation and sequelaes in children younger than 2 months old with cerebral venous thrombosis at the National Hospital Mario Catarino Rivas (HNMCR) from January 2009 to February 2013.

Patients and Methods: a descriptive study with a longitudinal design was. The performed sample consisted of 14 children younger than 2 months of age who were diagnosed with. CVT Clinical, laboratory and tomographic data were obtained. They were followed up to determine psychomotor sequelaes.

Results: The clinical manifestations reported were tense fontanelle in all patients, seizures in 86% and dehydration 71%. All had anemia with average hemoglobin levels of 6.7 g / dl. The brain scan showed involvement of the following sinuses: superior sagittal 100%, left side 78.6% , right side 71.4% and straight sinus 50%. 7 children had severe psychomotor retardation, 4 had a normal development and 3 died.

Conclusion: CVT remains a poorly understood and possibly sub diagnosed vascular pathology that deserves greater attention from the medical profession.

Acta Pediátrica Hondureña, Vol. 6, No. 1 April 2015 - September 2015: 406-414