[Neonatal cerebral venous thrombosis: diagnosis by magnetic resonance angiography].
Neonatal cerebral venous thrombosis (NCVT) is a rare, severe neuropathology of multiple etiology and variable clinical presentation. We describe the case of a 25-day-old infant that presented with a tonic convulsion. Ultrasound examination showed tetraventricular hemorrhage. Magnetic resonance imaging (MRI) showed the presence of acute thrombosis of the deep and superficial venous systems associated to a hemorrhagic infarct of the left thalamus. Coagulation study revealed a deficit of protein C. Thrombosis of deep cerebral veins must be ruled out as a cause of a neonatal convulsive crisis. The presence of a hemorrhagic thalamic lesion supports the diagnosis of NCVT, which must in turn be confirmed by magnetic resonance angiography (MRA).
Puig
J
J
Unidad de Resonancia Magnética, Institut de Diagnòstic per la Imatge, Servicio de Radiología, Hospital Universitario Dr Josep Trueta, Gerona, España. h416ujpu@htrueta.scs.es
Pedraza
S
S
Méndez
J
J
Trujillo
A
A
D006801:Humans; D007231:Infant, Newborn; D020767:Intracranial Thrombosis / Q000150:complications / Q000175:diagnosis*; D018810:Magnetic Resonance Angiography; D008297:Male; D020246:Venous Thrombosis / Q000150:complications / Q000175:diagnosis*