Cerebral venous sinus thrombosis in children: a multicenter cohort from the United States.

Cerebral venous sinus thrombosis in children: a multicenter cohort from the United States. Research Abstract Details 

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Cerebral venous sinus thrombosis in children: a multicenter cohort from the United States. Abstract Text:

Mohammad Wasay,Alper I Dai,Mohsin Ansari,Zubair Shaikh,E S Roach,Mohammad Wasay,Alper I Dai,Mohsin Ansari,Zubair Shaikh,E S Roach,

This study presents a large multicenter cohort of children with cerebral venous thrombosis from 5 centers in the United States and analyzes their clinical findings and risk factors. Seventy patients were included in the study (25 neonates, 35%). The age ranged from 6 days to 12 years. Thirty-eight (55%) were younger than 6 months of age, and 28 (40%) were male. Presenting features included seizures (59%), coma (30%), headache (18%), and motor weakness (21%). Common neurological findings included decreased level of consciousness (50%), papilledema (18%), cranial nerve palsy (33%), hemiparesis (29%), and hypotonia (22%). Predisposing factors were identified in 63 (90%) patients. These included infection (40%), perinatal complications (25%), hypercoagulable/hematological diseases (13%), and various other conditions (10%). Hemorrhagic infarcts occurred in 40% of the patients and hydrocephalus in 10%. Transverse sinus thrombosis was more common (73%) than sagittal sinus thrombosis (35%). Three children underwent thrombolysis, 15 patients received anticoagulation, and 49 (70%) were treated with antibiotics and hydration. Nine (13%) patients (6 of them neonates) died. Twenty-nine patients (41%) were normal, whereas 32 patients (46%) had a neurological deficit at discharge. Seizures and coma at presentation were poor prognostic indicators. In conclusion, cerebral venous thrombosis predominantly affects children younger than age 6 months. Mortality is high (25%) in neonatal cerebral venous thrombosis. Only 18 (25%) patients were treated with anticoagulation or thrombolysis.

Cerebral venous sinus thrombosis in children: a multicenter cohort from the United States. Publishing Authors By Initials

M Wasay,AI Dai,M Ansari,Z Shaikh,ES Roach,M Wasay,AI Dai,M Ansari,Z Shaikh,ES Roach,

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Cerebral venous sinus thrombosis in children: a multicenter cohort from the United States. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of child neurology

VOLUME: 23

Page Numbers: 26-31

Journal Abbreviation: J. Child Neurol.

ISSN: 0883-0738

DAY: 10

MONTH: Jan

YEAR: 2008

Cerebral venous sinus thrombosis in children: a multicenter cohort from the United States. Information

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LANGUAGE: eng

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AFFILIATION: Aga Khan University, Karachi, Pakistan. mohammad.wasay@aku.edu.

Country: Canada

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MEDLINETA: J Child Neurol

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