Acute cerebral superior sagittal sinus thrombosis presenting with convulsive seizure in a paediatric patient.

Abstract

Cerebral venous sinus thrombosis is a rare condition. Patients often; presents with complaints such as headache, unrest and vomiting. Convulsive seizure is the most common reason for admission in the pediatric age group. A 17-year-old male patient who presented to the emergency department owing to convulsive seizure. There was not any clinical sign except papilledema. Cerebral superior sagittal venous sinus thrombosis was diagnosed with brain diffusion magnetic resonance imaging and brain magnetic resonance imaging in venography examination. Low molecule weighted heparin treatment was carried out. He was followed up in the outpatient clinic. Diagnosis of cerebral venous sinus thrombosis is difficult and early diagnosis saves lives. The reason of that cannot be found in 25% of cases. Low molecular weighted heparin treatment in sinus vein thrombosis is using as the first choice. Recommended average length of treatment period is 3-6 months for anticoagulant therapy. Early diagnosis and treatment can reduce mortality and morbidity.

Keywords

• cerebral venous sinus thrombosis
• acute convulsive seizure