儿童轻度头部外伤致颅内静脉窦血栓形成一例并文献复习

Cerebral venous sinus thrombosis caused by mild head trauma in children:a case report and literature review

儿童颅内静脉窦血栓形成(CVST)是一种罕见的脑血管疾病,其临床表现多样,很少由轻度头部外伤引起,临床中往往存在延迟诊断。作者报道1例轻度头部外伤引起儿童CVST的病例,并从PubMed数据库中检索到9例轻度头部外伤致CVST患儿的临床资料并进行回顾性分析,共对10例患者(包括本例)的临床特点、影像学表现、治疗及转归情况进行分析统计,以提高临床上对该病的认识,并建议对于不伴有颅骨骨折的外伤儿童出现头痛、呕吐和嗜睡等症状时,需要将CVST纳入鉴别诊断的范围。

Cerebral venous sinus thrombosis(CVST)is a rare cerebrovascular disease in the pediatric population with various clinical manifestations.It is rarely caused by mild head trauma and is frequently with delayed diagnosis in clinical practice.In this article,the authors reported a pediatric case of CVST caused by mild head injury,and retrospectively analyzed clinical data of 9 reported cases from PubMed.Clinical characteristics,imaging manifestations,treatment and prognosis of the total 10 cases were analyzed and summarized,so as to improve clinicians′understanding of pediatric CVST caused by mild head trauma.CVST should be taken into consideration for differential diagnosis when encountering pediatric patients with trauma and exhibiting either vomiting,headache or drowsiness,but without skull fracture.