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Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024

Early detection of cerebral sinus venous thrombosis in an extremely low birth weight infant using cranial ultrasound-case report and literature review.

СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Skubisz Aleksandra, Tomaszkiewicz Anna, Bocheńska Małgorzata, Błaż Witold, Ramenghi Luca Antonio

Аннотация

INTRODUCTION: Cerebral sinus venous thrombosis (CSVT) is a serious condition in premature infants. Early diagnosis is crucial, as untreated CSVT can progress to severe complications such as delayed-onset intraventricular hemorrhage (IVH), which could lead to poor outcomes in this population.

RESEARCH QUESTION: This case highlights that serial cranial ultrasound can detect CSVT early, enabling prompt treatment and preventing subsequent complications.

METHODS AND MATERIALS: We present the case of an extremely low birth weight infant diagnosed with CSVT based on cranial ultrasonography findings. The patient had no clinical symptoms or previously detected brain injury.

RESULTS: Anticoagulant therapy was initiated immediately after diagnosis. Clot resolution was observed on cranial ultrasound after 5 days and confirmed by magnetic resonance imaging (MRI) on the 82 day of life (36 + 4 weeks of gestational age).

CONCLUSION: This case shows the significant value of cranial ultrasound as a diagnostic tool in premature infants when MRI is not immediately available. Early detection and treatment using ultrasound may help prevent severe complications.

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