Intracranial sinus thrombosis

G. Novak, M. Patel, N. Ilowite, P. Lanzkowsky, E. Babinski, M. Gandhi, I. R. Shenker, B. Gauthier, A. Battista

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

A 15 year old black male had developed headache six days earlier. By the time he patient came to the emergency room the headache had become unbearable and was associated with photophobia, a low grade fever and lower back pain. Except for some resistance to passive movements, the physical examination revealed no objective abnormal findings. Examination of the CSF excluded meningitis and subarachnoid hemorrhage. Other conditions to be considered included disorders of the cervical spine, tumors of the posterior fossa and neighboring infections. CT scan and MRI of the head showed that the patient had venous sinus thrombosis. Disorders associated with a hypercoagulable state or with a risk of thrombosis (protein C, protein S or antithrombin 3 deficiency, polycythemia, lymphoproliferative disorders, sickle cell disease) were excluded and no evidence of predisposing factors was found. The patient was anticoagulated with heparin initially and then with coumadin. Follow-up CT scan and MRI showed resolution of the thrombosis within a few days. Anticoagulation was to be continued for six months.

Original languageEnglish (US)
Pages (from-to)181-186
Number of pages6
JournalChildren's Hospital Quarterly
Volume6
Issue number3
StatePublished - 1995
Externally publishedYes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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