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C-0207 - Sinovenous thrombosis in neonates. A review of cases over a 4-year period in a national tertiary referral hospital in Spain.

N. M. Buitrago Sanchez1, J. Morán Marsili2, C. Utrilla2, A. Álvarez Muelas2, A. Royo2, A. Fernández Zubillaga2; 1 madrid/ES 2 Madrid/ES Type: Educational Exhibit
Area of Interests: Pediatric, Neuroradiology brain
Imaging Techniques: MR, MR-Angiography, MR-Diffusion/Perfusion
Procedure: Diagnostic procedure
Special Focuses: Ischemia / Infarction, Cerebral palsy, Embolism / Thrombosis
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Learning objectives: To describe the MR findings in neonatal cerebral sinovenous thrombosis (CSVT), the sinuses and the veins involved and the associated cerebral lesions in each case To list the risk factors (maternal, perinatal, neonatal). To stress the importance of detecting subtle signs of CSVT in newborns, because[...]

Background: Cerebral sinovenous thrombosis (CSVT) in children primarily affects neonates. Neonatal CSVT is a rare and potentially lethal condition, that can lead to stroke and potential long-term morbidity (cognitive and motor impairment, epilepsy), depending on extent and localization of thrombosis and associa[...]

Findings and procedure details: This review describes our experience at a national tertiary referral hospital in Spain in the diagnostic imaging of neonatal CSVT, the affected venous structures and the related brain lesions in each case.   We collected the data from our neonatal intensive care unit during [...]

Conclusion: The diagnosis of CSVT is based on the absence of flowing blood signal from sinovenous system in MRV. Common pitfalls in interpreting this signal (like a T1-shine-through phenomenon) may yield false negative results, so the conventional brain MR always should be carefully reviewed in conjun[...]

Personal information:

References: Berfelo FJ, Kersbergen KJ, van Ommen CH, et al. Neonatal Cerebral Sinovenous Thrombosis from symptom to outcome. Stroke 2010; 41: 1382-1388.   Heller C, Heinecke A, Junker R, et al. Cerebral venous thrombosis in children: a multifactorial origin. Circulation 2003; [...]

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