Cerebral Venous Thromobosis in Child - The Role of the Early Intervention

摘要

We present the case of a child, 1 year 8 months old, who was admited with coma, seizures and tetraparesis, after a respiratory infection. MRI showed thrombosis of the dural sinuses and cerebral veins with left venos thalamic infarct. Anticoagulation, associated with general supportive and symptomatic measures, and with early rehabilitation measures allowed a good recovery.Septic thrombosis can complicate a respiratory infection, especially in infants and young children; in this case cerebral thrombosis is mainly manifested by seizures and/or lethargy. The modern neuroimaging techniques (MRI) allows now a rapid and safe diagnosis. The anticoagulant treatment, associeted with antibiotic and depletiv treatment, was effective in this case.