Abstract
Purpose
Cerebral sinovenous thrombosis is an increasingly recognized cause of stroke in children and neonates. Its true incidence appears to be underestimated. Despite being a rare event, certain studies have found a correlation between subdural hemorrhage and cerebral sinus thrombosis. The literature suggests that spontaneous cerebral sinovenous thrombosis in the pediatric population may lead to the occurrence of a subdural hemorrhage. In this report, we present a case of cerebral venous thrombosis associated with chronic subdural hematoma and review the literature to highlight the importance of these conditions.
Case report
An 11-year-old boy was admitted in the neurosurgery department with headache and a neurological examination without changes. The imaging studies identified a heterogeneous subdural collection in the fronto-temporo-parietal region. The patient underwent surgical drainage of the subdural hematoma, and the procedure was performed without complications. The magnetic resonance and angiography showed an extensive thrombosis of the superior sagittal sinus, extending downward to the occipital sinus and partially to the right transverse sinus.
Conclusions
Appropriate management in the diagnosis and an early treatment of dural sinus thrombosis associated with subdural hemorrhage can reduce the risk of recurrence and improve the clinical outcome.
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Suzana Maria Bezerra Serra Conducted the research, collected patient information, analyzed the data, reviewed the literature, drafted the article, edited the article, have approved the submitted version. Raiza Rafaela Borges de Oliveira Collected patient information, analyzed the data, reviewed the literature, drafted the article, edited the article, have approved the submitted version. Ismael Felipe Gonçalves Galvão Collected patient information, analyzed the data, reviewed the literature, drafted the article, edited the article, , performed the article submission, have approved the submitted version. Júlia Santos Maia Collected patient information, analyzed the data, reviewed the literature, drafted the article, edited the article, have approved the submitted version.
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Serra, S.M.B., de Oliveira, R.R.B., Galvão, I.F.G. et al. Cerebral sinovenous thrombosis as a cause of subdural hemorrhage in the pediatric population: Is there a correlation?. Childs Nerv Syst 40, 603–605 (2024). https://doi.org/10.1007/s00381-023-06199-2
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DOI: https://doi.org/10.1007/s00381-023-06199-2