Deep cerebral venous thrombosis in thalamo-ventricular hemorrhage of the term newborn.

Abstract:

:Unilateral thalamic bleeding with associated intraventricular hemorrhage is reported in three full-term neonates. The first presented within 48 hours from birth with early onset streptococcal meningitis, persistent pulmonary hypertension, tonic seizures and a tense fontanelle. The second presented 6 days after birth with irritability, opisthotonus, a tense fontanelle and tonic seizures. The third was admitted three days after birth with seizures and a tense fontanelle. In the latter two infants NMR and CT imaging documented thrombosed superficial and deep cerebral veins. The etiopathogenesis of intracranial venous thrombosis in the neonate is diverse: asphyxia, dehydration, polycythemia, sepsis-meningitis and difficult delivery are the main causes. In one of our patients jugular vein compression by the collar of a negative-pressure ventilation chamber probably initiated the intracranial events. More than half of the survivors sustain severe neurological impairment.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Govaert P,Achten E,Vanhaesebrouck P,De Praeter C,Van Damme J

doi

10.1007/BF02011312

keywords:

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

123-7

issue

2

eissn

0301-0449

issn

1432-1998

journal_volume

22

pub_type

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