title: Does intracranial venous thrombosis cause subdural hemorrhage in the pediatric population?
abstract: Unexplained SDH in infants and children is an accepted marker for AHT. It has been proposed that IVT may be the initiating event leading to the development of acute SDH, mimicking the appearance of traumatic SDH. Our study aims to investigate if nontraumatic IVT causes SDH in the pediatric population. We retrospectively identified 36 patients with IVT and reviewed neuroimaging studies for the concurrent presence of SDH. In our 36 patients with IVT, no associated SDH was observed. Even with extensive IVT, no SDH was present. Three false-positive diagnoses of IVT were identified in the setting of mastoiditis and traumatic SDH, demonstrating pitfalls in imaging. In conclusion, our findings do not support the previous AHT literature stating that IVT is associated with, or leads to, SDH in neonates, infants, or children.
authors.affiliation: Department of Radiology, University of Utah, Salt Lake City, Utah 84132-2140, USA. Logan.McLean@hsc.utah.edu
authors.forename: L A
authors.initials: LA
authors.lastname: McLean
authors.forename: L D
authors.initials: LD
authors.lastname: Frasier
authors.forename: G L
authors.initials: GL
authors.lastname: Hedlund
mesh_terms: D015984:Causality; D002533:Cerebral Angiography / Q000706:statistics & numerical data*; D002561:Cerebrovascular Disorders / Q000000981:diagnostic imaging* / Q000453:epidemiology*; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D005260:Female; D006408:Hematoma, Subdural / Q000000981:diagnostic imaging* / Q000453:epidemiology*; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D018570:Risk Assessment; D014589:Utah / Q000453:epidemiology; D020246:Venous Thrombosis / Q000000981:diagnostic imaging* / Q000453:epidemiology*; D055815:Young Adult