Radiology Case Reports (Oct 2023)

Cerebral venous sinus thrombosis related to SARS-CoV-2 infection in a pediatric patient: A case report

  • Nguyen Duong Quoc Anh, MD,
  • Tran Chi Cuong, MD, PhD,
  • Le Minh Thang, MD,
  • Nguyen Dao Nhat Huy, MD,
  • Nguyen Thi To Tran, MD,
  • Nguyen Luu Giang, MD,
  • Ngo Minh Tuan, MD,
  • Bui Thi Bich, MD,
  • Vo Thanh Tung, MD,
  • Nguyen Minh Duc, MD

Journal volume & issue
Vol. 18, no. 10
pp. 3592 – 3597

Abstract

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Coronavirus disease 2019 is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); it has recently been associated with several hematologic disorders. A 4-year-old boy who had SARS-CoV-2 10 months prior was admitted to the emergency department of our hospital with seizures. His SARS-CoV-2 IgG II level was 885.7 AU/mL. Neuroimaging with cranial computed tomography after admission showed abnormal images of the venous sinus, but this was not sufficient to diagnose cerebral venous sinus thrombosis. Therefore, magnetic resonance imaging and digital subtraction angiography were conducted, which confirmed the diagnosis. He was treated with thrombectomy and anticoagulation drugs, and the clinical outcomes were satisfactory. Because our patient had a medical history of SARS-CoV-2 and exhibited no other risk factors, we present this case as evidence of a potential association between cerebral venous sinus thrombosis and SARS-CoV-2.

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