Status Epileptikus ile Başvuran Serebral Venöz Tromboz Olgusu

Abstract

Sinüs ven trombozu, çocukluk yaş grubunda nadir görülen ve hayatı tehdit eden bir durumdur. Başvurudaki klinik bulguları genellikle nonspesifiktir ve buna bağlı olarak da tanısı gecikir veya yanlış tanı alabilir. Morbidite ve mortaliteyi azaltmada erken tanı ve tedavi önemlidir. Nöbet kötü prognoz kriterlerinden biridir. Burada acil servise status epileptikusla başvuran 5 yaşında erkek bir olgu sunuldu. Başvurusundan 6 saat sonra sinüs ven trombozu tanısı konularak, tedavisi başlanan hasta şu an 6. ayında sekelsiz olarak izlenmektedir.

Keywords

• Erken tanı, Serebral tromboz, Status epileptikus

Case Presenting: Cerebral Venosus Thrombosis with Status Epilepticus

Abstract

Cerebral venous sinus thrombosis (CVT) is a rare and potentially life-threatening condition in the pediatric population. The clinical presentation is frequently nonspecific; thus diagnosis is often delayed or missed. Early treatment is important for decreasing the mortality and morbid-ity. Seizure is known as a poor prognostic criterion. We report the case of 5-year-old male patient who presented to the emergency department with status epilepticus. He was diagnosed with CVT 6 hours later and treatment started. He has been followed by our clinic without sequelae for 6 months at present

Keywords

• Early diagnosis, Cerebral thrombosis, Status epilepticus

References

1. Swaiman FK, Ashwal S, Ferriero DM, Schor NF. Swaiman’s Pediatric Neurology Principles and Practice. 5th ed. 2012:1395- 436.
2. Carvalho KS, Bodensteiner JB, Connolly PJ, Garg BP. Cerebral venous thrombosis in children. J Child Neurol 2001;16:574–80.
3. Shroff M, deVeber G. Sinovenous thrombosis in children. Neuroimaging Clin N Am 2003;13:115–38.
4. Shevell MI, Silver K, O’Gorman AM, Watters GV, Montes JL. Neonatal dural sinus thrombosis. Pediatr Neurol 1989;5:161-5.
5. Huisman TA, Holzmann D, Martin E,  Willi UV. Cerebral venous thrombosis in childhood. Eur Radiol 2001;11:1760–5.
6. Jonas Kimchi T, Lee SK, Agid R, Shroff M, Ter Brugge KG. Cerebral sinovenous thrombosis in children. Neuroimaging Clin N Am 2007;17:239–44.
7. DeVeber G, Andrew M, Adams C, Bjornson B, Booth F, Buckley DJ, et al. Cerebral sinovenous thrombosis in children. N Engl J Med 2001;345:417–23.
8. Wasay M, Dai AI, Ansari M, Shaikh Z, Roach ES. Cerebral venous sinus thrombosis in children: A multicenter cohort from the United States. J Child Neurol 2008;23:26–31.