A Case Report of Partial Sigmoide Sinus and Transverse Left Sinus Thrombosis in a 15 Days Old Boy

Cerebral venous sinus thrombosis in children is a rare complication and only few cases have been reported. Sinovenous thrombosis is probably less recognized and the symptoms and clinical course are highly variable. As in the present reported case, symptoms may be very non-specific. Availability of imaging techniques like magnetic resonance imaging (MRI) along with increasing awareness of condition should make it more frequently diagnosed.

A15 days old boy was refered to his pediatrician for rejection of mother lactation and discomfort. In the physical exploration he presents affectation of the general condition, light hipotonía and weak weeping. The rest of systemic examination was normal. He was sent to the hospital, where it enters for suggestive picture of sepsis/meningitis.

On admission, initiates parenteral treatment with antibiotic and antiviral, previous withdrawal of LCR`s sample for PCR of virus (negatives) and analytical. Within a few hours of the revenue he presents a pseudocomatose picture and a tonic crisis. EEG and transfontanelar ultrasound scan were normal.

Cerebral magnetic resonance showed partial sigmoide sinus and transverse left sinus thrombosis, without parenquima affectation. Sleep EEG and metabolic and coagulation study in blood and urine of 24 hours were normal.

After improving clinical, it realizes follow-up to the discharge in Neuropediatría and in a Center of Early Attention for precocious stimulation and neurological follow-up.

After two years of follow-up, the parents see him well. They came to Center of early attention, where it has been discharge at the age of 2. He had not presented convulsive crises and psychomotor development is adapted to his age, without any neurological complaints.