Multiple thrombosis of the cerebral venous sinuses, neonatal seizures, and minor parenchymal lesions: a case report and a review of the literature.


Journal

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
ISSN: 1476-4954
Titre abrégé: J Matern Fetal Neonatal Med
Pays: England
ID NLM: 101136916

Informations de publication

Date de publication:
Dec 2022
Historique:
pubmed: 10 2 2022
medline: 24 11 2022
entrez: 9 2 2022
Statut: ppublish

Résumé

Cerebral sinovenous thrombosis (CSVT) is a rare disease with potential catastrophic consequences. However, neonatal brain damage after venous injury and long-term neurologic outcomes have been poorly investigated. Some found an association between site and number of sinus occlusions, severity of lesions, clinical presentation and the neurodevelopmental outcome. We describe the case of a term newborn girl with multiple CSVT who presented with clonic seizures and who received early treatment with heparin. MRI scans showed a progressive recanalization of deep venous system, and only minor cerebral lesions were present at 3 months of life. Neurocognitive outcome was normal at 12 months of life. This case demonstrates that multiple CSVT presenting with severe seizures does not necessarily underlie major cerebral lesions or lead to severely abnormal neurodevelopmental outcome.

Sections du résumé

BACKGROUND UNASSIGNED
Cerebral sinovenous thrombosis (CSVT) is a rare disease with potential catastrophic consequences. However, neonatal brain damage after venous injury and long-term neurologic outcomes have been poorly investigated. Some found an association between site and number of sinus occlusions, severity of lesions, clinical presentation and the neurodevelopmental outcome.
CASE PRESENTATION UNASSIGNED
We describe the case of a term newborn girl with multiple CSVT who presented with clonic seizures and who received early treatment with heparin. MRI scans showed a progressive recanalization of deep venous system, and only minor cerebral lesions were present at 3 months of life. Neurocognitive outcome was normal at 12 months of life.
CONCLUSIONS UNASSIGNED
This case demonstrates that multiple CSVT presenting with severe seizures does not necessarily underlie major cerebral lesions or lead to severely abnormal neurodevelopmental outcome.

Identifiants

pubmed: 35135398
doi: 10.1080/14767058.2021.1986480
doi:

Types de publication

Review Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

8507-8510

Auteurs

Luca Bedetti (L)

PhD Program in Clinical and Experimental Medicine, University of Modena and Reggio Emilia, Modena, Italy.
Neonatal Intensive Care Unit, Women's and Children's Health Department, University Hospital of Modena, Modena, Italy.

Silvia Poluzzi (S)

Maternal and Child Department, Pediatric Postgraduate School, University of Modena and Reggio Emilia, Modena, Italy.

Isotta Guidotti (I)

Neonatal Intensive Care Unit, Women's and Children's Health Department, University Hospital of Modena, Modena, Italy.

Laura Lucaccioni (L)

Pediatrics, Women's and Children's Health Department, University Hospital of Modena, Modena, Italy.

Claudio Rota (C)

Department of Pediatrics, Nuovo Ospedale Civile, Sassuolo, Italy.

Francesca Cavalleri (F)

Department of Neuroradiology, University Hospital of Modena, Modena, Italy.

Marisa Pugliese (M)

Neonatal Intensive Care Unit, Women's and Children's Health Department, University Hospital of Modena, Modena, Italy.

Lorenzo Iughetti (L)

Maternal and Child Department, Pediatric Postgraduate School, University of Modena and Reggio Emilia, Modena, Italy.
Pediatrics, Women's and Children's Health Department, University Hospital of Modena, Modena, Italy.

Licia Lugli (L)

Neonatal Intensive Care Unit, Women's and Children's Health Department, University Hospital of Modena, Modena, Italy.

Alberto Berardi (A)

Neonatal Intensive Care Unit, Women's and Children's Health Department, University Hospital of Modena, Modena, Italy.

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