2017 Volume 49 Issue 6 Pages 396-400
Objective: This study investigated the clinical features, neuroimaging and prognosis of cerebral sinovenous thrombosis (CSVT) in children. Methods: We retrospectively evaluated five patients with CSVT based on their medical records. Results: The subjects were two males and three females. One subject was a neonate. The other four were infants who had underlying diseases or prothrombotic factors, but the neonate had no risk factors. All children had anticoagulation therapy in the acute phase and their neurological outcomes were favorable. D-dimer was elevated in all cases, but it did not correlate with their outcomes. Susceptibility-weighted imaging (SWI) obtained in three patients clearly visualized venous congestion, bleeding and thrombosis. Conclusions: Clinical symptoms of CSVT in children are usually nonspecific. Accurate diagnosis with neuroimaging and anticoagulation therapy during the acute phase are necessary. SWI sensitively detects venous congestion, bleeding and thrombosis and is a useful method for diagnosing CSVT.
