Cerebral Sinovenous Thrombosis in Children: Diagnosis and Treatment

  title={Cerebral Sinovenous Thrombosis in Children: Diagnosis and Treatment},
  author={Benjamin F. Jackson and Frances K. Porcher and Daniel Tyler Zapton and Joseph D. Losek},
  journal={Pediatric Emergency Care},
Cerebral sinovenous thrombosis (CSVT) is a pediatric stroke syndrome that occurs uncommonly in association with a number of common pediatric problems, most notably dehydration and infection-otitis media in older children, in particular. Cerebral sinovenous thrombosis involves considerable risk of morbidity and mortality. In the pediatric population, neonates are most commonly affected, but no age group is spared. The clinical manifestations of CSVT vary across age groups and include headache… 

Cerebral sinovenous thrombosis (CSVT) in children: what the pediatric radiologists need to know

The normal venous anatomy, its variants, risk factors that contribute to cause CSVT, and the practical imaging feature of cerebral sinovenous thrombosis on MRI and CT are reviewed.

Trombosis de senos venosos cerebrales asociado a síndrome antifosfolípidos en un paciente pediátrico

Clinical improvement was achieved by implementing immunotherapy plus anticoagulation, where pediatric rheumatology and hematology confirmed diagnosis of cerebral venous sinus thrombosis secondary to antiphospholipid syndrome.

Analysis of 10 Pediatric Nephrotic Syndrome Cases With Complications of Cerebral Sinovenous Thrombosis

Clinical manifestations of nephrotic syndrome with CSVT are not specific but varied, therefore, CSVT should be considered once nervous manifestations present and MRV is a better method in the diagnosis of CSVT.

Paediatric otogenic cerebral venous sinus thrombosis: a multidisciplinary approach

Clear recommendations for the comprehensive assessment and management of paediatric otogenic cerebral venous sinus thrombosis are presented, along with the literature review upon which they are based.

Imaging of Pediatric Stroke

The authors review the etiology of pediatric stroke in the settings of arterial ischemia, hemorrhage, and cerebral sinovenous thrombosis (CSVT), with emphasis on the best diagnostic tools available, including advanced imaging techniques.

Venous sinus thrombosis in a child with nephrotic syndrome: a case report and literature review

The diagnosis of venous thrombosis should be considered in any patient with nephrotic syndrome who presents with neurological signs and symptoms, as early clinical diagnosis promotes favorable outcomes.

Cerebral venous sinus thrombosis in a preterm infant: associated brain injuries

This work focuses on the pattern of associated brain lesions in preterm infants with CVST, a rare condition that occurs during the neonatal period with males being more often affected than female infants.



Cerebral sinovenous thrombosis masquerading as migraine: a case report.

This case illustrates an extremely rare ED presentation of Cerebral sinovenous thrombosis masquerading as migraine headache and discusses the diagnostic dilemma of neuroimaging.

Paediatric cerebral venous thrombosis.

  • A. Dai
  • Medicine
    JPMA. The Journal of the Pakistan Medical Association
  • 2006
The clinician should consider this diagnosis in a wide range of acute neurological presentations in childhood, including infection, dehydration, renal failure, trauma, cancer and haematological disorder with multiple risk factors.

Cerebral venous sinus thrombosis in children: risk factors, presentation, diagnosis and outcome.

Clinical presentations of CSVT, prothrombotic risk factors and other predisposing events, clinical and radiological features of brain lesions in CSVT compared with arterial stroke, and predictors of outcome were examined.

Cerebral sinovenous thrombosis in children.

Sinovenous thrombosis in children affects primarily neonates and results in neurologic impairment or death in approximately half the cases, and the occurrence of venous infarcts or seizures portends a poor outcome.

Cerebral sinovenous thrombosis after closed head injury.

The prospective cutoff point of ADC value may be higher in CSVT after head injury with traumatic hematoma, and the territory of venous infarction was found to be larger in infants after treatment failure.

Cerebral Venous Thrombosis in Children

Neonatal cerebral venous thrombosis is probably more common than previously thought, and outcomes are worse in this group, and all children with cerebral venOUS thromBosis should be tested for coagulation disorders.

Frequency and Topographic Distribution of Brain Lesions in Pediatric Cerebral Venous Thrombosis

The topographic distribution of brain lesions associated with CSVT correlates with the known drainage territories of the dural venous sinus in children.

Otitic hydrocephalus associated with lateral sinus thrombosis and acute mastoiditis in children.

Cerebral Venous Thrombosis in Children: A Multifactorial Origin

CVT in children is a multifactorial disease that, in the majority of cases, results from a combination of prothrombotic risk factors and/or underlying clinical condition.

Delayed otogenic hydrocephalus after acute otitis media in pediatric patients: the changing presentation of a serious otologic complication

The clinical presentation of otogenic dural sinus thrombosis (DST) as a complication of acute otitis media (AOM) can be masked by antibiotic treatment and the MRI scans of patients with similar symptoms should be carefully studied to facilitate the early diagnosis of a potentially life-threatening complication.