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Case Studies | Anaesthesiology | Slovakia | Volume 12 Issue 7, July 2023
Unusual Case of Cerebral Venous Thrombosis in a Young Girl with Acute Mastoiditis: A Case Report
Abstract: Background: Cerebrovascular diseases are a signi?cant factor contributing to children?s morbidity and death globally. Cerebral venous thrombosis (CVT) is de?ned as a disruption of cerebral circulation caused by the development of a blood clot in the brain's venous system and blockage of the dural sinus, one or more brain vessels, or both. Thrombosis of the intracranial venous system represents an uncommon complication of mastoiditis, which can cause fatal neurological sequelae. However, there is an ongoing debate on the diagnostics and treatment of complicated mastoiditis in children. Early detection of cerebral venous sinus disorders and e?ective therapy relies on accurate brain imaging. Currently, anticoagulation therapy along with intravenous antibiotics are considered the mainstay of treatment. Case presentation: We describe the infrequent case of a 2 - year - old white girl who was admitted to the hospital for respiratory insu?ciency. The patient?s overall status deteriorated within a few minutes for which she was intubated and connected to arti?cial ventilation. CT scan of the brain showed massive thrombosis of the intracranial venous system and signs of mastoiditis. A course of anticoagulation therapy with low - molecular - weight heparin (LMWH) was immediately initiated. Furosemide, clindamycin and dexamethasone were added to the therapeutic regimen. Conclusion: The symptomatology of cerebral venous thrombosis in pediatric patients is highly variable and can range from signs of elevated intracranial pressure to focal neurologic de?cits, altered level of consciousness, headache or seizures. Therefore, early detection and intervention are essential to avert complications and reduce permanent brain damage.
Keywords: Atrioventricular block, Mastoiditis, Intracranial thrombosis, Klebsiella pneumoniae, Pseudomonas aeruginosa
Edition: Volume 12 Issue 7, July 2023,
Pages: 1584 - 1587