Cerebral venous thrombosis in the nephrotic syndrome.
A 4-year-old boy with idiopathic steroid responsive nephritic syndrome developed bilateral sixth-nerve palsy and lethargy secondary to cerebral sinus thrombosis. Treatment with heparin, fresh frozen plasma as source of antithrombin III and vitamin K inhibitors may have prevented further sequels. However, anti-coagulation, as assessed by partial thromboplastin and prothrombin time, was difficult to achieve. Despite these problems the child made a complete neurological recovery.
Al Fakeeh
K N
KN
Department of Pediatrics, King Fahad National Guard Hospital, Riyadh, Saudi Arabia.
Al Rasheed
S A
SA