title

گزارش دو مورد ترومبوز وریدی مغز در نوزادان

مقصودی, محمدرضا and باباپور, بهزاد and شهباززادگان, بیتا and مقصودی, ساقی (1397) گزارش دو مورد ترومبوز وریدی مغز در نوزادان. Acta Medica Iranica ــ 56 (6). pp. 410-414. شاپا 0044-6025

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Title

Cerebral Venous Thrombosis in Neonates: Two Case Reports

English Abstract

Abstract- Cerebral venous thrombosis is an uncommon disorder in children however it can be associated with serious clinical consequences. As it is a rare condition without any specific clinical presentation, it is usually undiagnosed. Clinical manifestation of cerebral thrombosis in children is relatively different from adult because of age-related differences in the vascular and neurologic systems. We present a case of a twenty days boy with a history of one-week lethargy and poor feeding and grand mal seizure. He had hypernatremia and severe dehydration. Non-contrast CT scan of the brain revealed superior sagittal and both transverse and sigmoid sinus thrombosis. The patient was treated in neonatal ICU with a favorable clinical response. We also present a fourteen days girl who presented with three days of fever, poor feeding, tachycardia, respiratory distress, and grand mal seizure. She had hypernatremia and severe dehydration. Non-contrast CT scan of the brain revealed superior sagittal sinus thrombosis and right temporal lobe infarction. She was also treated in neonatal ICU with noticeable improvement in symptoms. These cases demonstrate the importance of dehydration in neonatal and clinical suspicion of cerebral venous thrombosis (CVT). We present these two cases to enhance the awareness of clinical practitioners. CVT is an unusual and serious condition in neonates and due to its nonspecific clinical presentation often remains unrecognized. Early neuroimaging, including transfontanel doppler ultra-sonography, and non-contrast CT scan in all neonates with neonatal seizures will improve detection.

Item Type:Article
زبان سند : انگلیسی
نویسنده اول :محمدرضا مقصودی
نویسنده :بهزاد باباپور
نویسنده مسئول :بیتا شهباززادگان
Additional Information:Indexed in: Scopus, Chemical Abstracts , EMBASE , Global Health Database , CAB Abstracts Database , Index Copernicus , DOAJ, Google Scholar , SID, ISC, Magiran, Iranmedex ,
کلیدواژه ها (انگلیسی):Cerebral thrombosis; Brain infarction; Venous; Neonate
Subjects:WL Nervous system
Divisions:Faculty of Medicine > Department of Science General
Faculty of Medicine > Department of Internal Medicine , Cardiology , Infectious
ID Code:9905
Deposited By: دکتر بیتا شهباززادگان
Deposited On:30 Apr 1397 14:36
Last Modified:30 Apr 1397 14:36

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