Abstract

BARREIRO, Gustavo; ACOSTA, Martín  and  ZORI, Eduardo. Trombosis venosa y dural cerebral traumática en niños. Arch. argent. pediatr. [online]. 2005, vol.103, n.1, pp.57-62. ISSN 0325-0075.

Traumatic cerebral venous and dural thrombosis is a rare clinical presentation of mild and severe head trauma in children. This pathology can occur 3 to 9 days after head trauma, but rarely occur after the second week. The objective of this work is to report a case of a 3 years old child with severe head trauma and multiple skull and orbital fractures who suddenly presented with gait ataxia, vomiting, headache and relapse of cerebrospinal fluid leakage, 23 days after trauma. Patognomonical signs of cerebral venous and sinus thrombosis in computed tomography, magnetic resonance imaging and magnetic resonance angiography confirmed the presumptive diagnosis. Treatment with heparin and oral anticoagulants is the treatment of choice, although the use of endovascular therapy with thrombolytics and stents is probably safer. This condition should be suspected when we have a patient with symptoms of increased intracraneal pressure with multiple skull and vertex fractures, cerebrospinal fluid leakage and computerized tomographies that do not justify this symptoms.

Keywords : Cerebral venous and dural thrombosis; Head trauma; Children.

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