Yıl: 2021 Cilt: 63 Sayı: 6 Sayfa Aralığı: 1028 - 1037 Metin Dili: İngilizce DOI: 10.24953/turkjped.2021.06.011 İndeks Tarihi: 14-06-2022

Cerebral sinovenous thrombosis in children: clinical presentation, locations, and acquired and inherited prothrombotic risk factors

Öz:
Background. Cerebral sinovenous thrombosis (CSVT) in children is a rare and life-threatening cerebrovascular disease. Hence, we evaluated its clinical presentations, inherited and acquired prothrombotic risk factors along with the accompanying diseases, the thrombosis locations as well as the outcomes of anticoagulant therapy in children with CSVT. Methods. The medical records of pediatric CSVT patients treated between January 2011 and September 2018 were analyzed retrospectively. Results. The study included 29 children, 15 boys (51.7%) and 14 girls (48.3%), with the median age being 11 years (range:3 days-17 years). The most commonly presented complaint in neonates was seizures and in the non-neonatal age groups was a headache. Also, at least one acquired and/or inherited thrombophilic risk factor was identified in 89.7% of the patients. The most commonly acquired prothrombotic risk factors along with the accompanying diseases included infections, central venous catheter, and dehydration, while the most commonly inherited thrombophilic risk factors included heterozygous factor-V Leiden mutation and elevated lipoprotein (a). The most common thrombosis location was found to be the transverse sinus. Also, none of the patients died due to the thrombotic episode. Complications included epilepsy in five patients, hydrocephalus in one patient, and intracranial hypertension in another patient. Conclusions. Clinicians need to be well aware of the inherited and acquired prothrombotic risk factors in CSVT. It should also be kept in mind that at-risk patients may also present with nonspecific signs and symptoms with no apparent neurological manifestation. The risk of acute complications and long-term sequelae can be substantially reduced if diagnosed early and initiated with appropriate treatment at the early stages.
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APA düzenli kar y, Özdemir Z, ÇARMAN K, YARAR C, Tekin Karacaer N, BÖR Ö (2021). Cerebral sinovenous thrombosis in children: clinical presentation, locations, and acquired and inherited prothrombotic risk factors. , 1028 - 1037. 10.24953/turkjped.2021.06.011
Chicago düzenli kar yeter,Özdemir Zeynep Canan,ÇARMAN Kürşat Bora,YARAR Coşkun,Tekin Karacaer Neslihan,BÖR Özcan Cerebral sinovenous thrombosis in children: clinical presentation, locations, and acquired and inherited prothrombotic risk factors. (2021): 1028 - 1037. 10.24953/turkjped.2021.06.011
MLA düzenli kar yeter,Özdemir Zeynep Canan,ÇARMAN Kürşat Bora,YARAR Coşkun,Tekin Karacaer Neslihan,BÖR Özcan Cerebral sinovenous thrombosis in children: clinical presentation, locations, and acquired and inherited prothrombotic risk factors. , 2021, ss.1028 - 1037. 10.24953/turkjped.2021.06.011
AMA düzenli kar y,Özdemir Z,ÇARMAN K,YARAR C,Tekin Karacaer N,BÖR Ö Cerebral sinovenous thrombosis in children: clinical presentation, locations, and acquired and inherited prothrombotic risk factors. . 2021; 1028 - 1037. 10.24953/turkjped.2021.06.011
Vancouver düzenli kar y,Özdemir Z,ÇARMAN K,YARAR C,Tekin Karacaer N,BÖR Ö Cerebral sinovenous thrombosis in children: clinical presentation, locations, and acquired and inherited prothrombotic risk factors. . 2021; 1028 - 1037. 10.24953/turkjped.2021.06.011
IEEE düzenli kar y,Özdemir Z,ÇARMAN K,YARAR C,Tekin Karacaer N,BÖR Ö "Cerebral sinovenous thrombosis in children: clinical presentation, locations, and acquired and inherited prothrombotic risk factors." , ss.1028 - 1037, 2021. 10.24953/turkjped.2021.06.011
ISNAD düzenli kar, yeter vd. "Cerebral sinovenous thrombosis in children: clinical presentation, locations, and acquired and inherited prothrombotic risk factors". (2021), 1028-1037. https://doi.org/10.24953/turkjped.2021.06.011
APA düzenli kar y, Özdemir Z, ÇARMAN K, YARAR C, Tekin Karacaer N, BÖR Ö (2021). Cerebral sinovenous thrombosis in children: clinical presentation, locations, and acquired and inherited prothrombotic risk factors. Turkish Journal of Pediatrics, 63(6), 1028 - 1037. 10.24953/turkjped.2021.06.011
Chicago düzenli kar yeter,Özdemir Zeynep Canan,ÇARMAN Kürşat Bora,YARAR Coşkun,Tekin Karacaer Neslihan,BÖR Özcan Cerebral sinovenous thrombosis in children: clinical presentation, locations, and acquired and inherited prothrombotic risk factors. Turkish Journal of Pediatrics 63, no.6 (2021): 1028 - 1037. 10.24953/turkjped.2021.06.011
MLA düzenli kar yeter,Özdemir Zeynep Canan,ÇARMAN Kürşat Bora,YARAR Coşkun,Tekin Karacaer Neslihan,BÖR Özcan Cerebral sinovenous thrombosis in children: clinical presentation, locations, and acquired and inherited prothrombotic risk factors. Turkish Journal of Pediatrics, vol.63, no.6, 2021, ss.1028 - 1037. 10.24953/turkjped.2021.06.011
AMA düzenli kar y,Özdemir Z,ÇARMAN K,YARAR C,Tekin Karacaer N,BÖR Ö Cerebral sinovenous thrombosis in children: clinical presentation, locations, and acquired and inherited prothrombotic risk factors. Turkish Journal of Pediatrics. 2021; 63(6): 1028 - 1037. 10.24953/turkjped.2021.06.011
Vancouver düzenli kar y,Özdemir Z,ÇARMAN K,YARAR C,Tekin Karacaer N,BÖR Ö Cerebral sinovenous thrombosis in children: clinical presentation, locations, and acquired and inherited prothrombotic risk factors. Turkish Journal of Pediatrics. 2021; 63(6): 1028 - 1037. 10.24953/turkjped.2021.06.011
IEEE düzenli kar y,Özdemir Z,ÇARMAN K,YARAR C,Tekin Karacaer N,BÖR Ö "Cerebral sinovenous thrombosis in children: clinical presentation, locations, and acquired and inherited prothrombotic risk factors." Turkish Journal of Pediatrics, 63, ss.1028 - 1037, 2021. 10.24953/turkjped.2021.06.011
ISNAD düzenli kar, yeter vd. "Cerebral sinovenous thrombosis in children: clinical presentation, locations, and acquired and inherited prothrombotic risk factors". Turkish Journal of Pediatrics 63/6 (2021), 1028-1037. https://doi.org/10.24953/turkjped.2021.06.011