Cerebral Sinovenous Thrombosis in a Child with Idiopathic Nephrotic Syndrome

Nephrotic syndrome (NS) is a renal disorder characterized by heavy proteinuria, hypoalbuninemia, edema and hypercholesterolemia. Nephrotic syndrome in children is known to be associated with an hypercoagulable state and thromboembolic complications. However cerebral sinovenous thrombosis (CSVT) is v...

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Main Authors: L. Ghedira Besbes, S. Haddad, A. Gabsi, M. Hassine, Ch. Ben Meriem, M. N. Guediche
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2011/724950
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author L. Ghedira Besbes
S. Haddad
A. Gabsi
M. Hassine
Ch. Ben Meriem
M. N. Guediche
author_facet L. Ghedira Besbes
S. Haddad
A. Gabsi
M. Hassine
Ch. Ben Meriem
M. N. Guediche
author_sort L. Ghedira Besbes
collection DOAJ
description Nephrotic syndrome (NS) is a renal disorder characterized by heavy proteinuria, hypoalbuninemia, edema and hypercholesterolemia. Nephrotic syndrome in children is known to be associated with an hypercoagulable state and thromboembolic complications. However cerebral sinovenous thrombosis (CSVT) is very rare. Here we report a seven-year-old child with steroid-dependent idopathic nephrotic syndrome resulting from a minimal change disease, developed multiple cerebral sinovenous thrombosis, presenting with headache, left sixth nerve palsy, and papilledema. The diagnosis of CSVT was established by cranial computed tomography, magnetic resonance imaging, and magnetic resonance angiography. He gradually recovered after anticoagulant therapy. CSVT is very rare in nephrotic children. The diagnosis of CSVT should be considered in any patient with nephrotic syndrome who develops neurologic symptoms. This report highlights the importance of suspecting and recognizing this potentially life threatening complication and initiating early treatment.
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institution Kabale University
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series Case Reports in Nephrology
spelling doaj-art-28ea71a8515a478e80ac926a8d5bf7c82025-08-20T03:54:47ZengWileyCase Reports in Nephrology2090-66412090-665X2011-01-01201110.1155/2011/724950724950Cerebral Sinovenous Thrombosis in a Child with Idiopathic Nephrotic SyndromeL. Ghedira Besbes0S. Haddad1A. Gabsi2M. Hassine3Ch. Ben Meriem4M. N. Guediche5Pediatric Department, Fattouma Bourguiba Hospital, Monastir 5000, TunisiaPediatric Department, Fattouma Bourguiba Hospital, Monastir 5000, TunisiaPediatric Department, Fattouma Bourguiba Hospital, Monastir 5000, TunisiaHematology Laboratory, Fattouma Bourguiba Hospital, Monastir 5000, TunisiaPediatric Department, Fattouma Bourguiba Hospital, Monastir 5000, TunisiaPediatric Department, Fattouma Bourguiba Hospital, Monastir 5000, TunisiaNephrotic syndrome (NS) is a renal disorder characterized by heavy proteinuria, hypoalbuninemia, edema and hypercholesterolemia. Nephrotic syndrome in children is known to be associated with an hypercoagulable state and thromboembolic complications. However cerebral sinovenous thrombosis (CSVT) is very rare. Here we report a seven-year-old child with steroid-dependent idopathic nephrotic syndrome resulting from a minimal change disease, developed multiple cerebral sinovenous thrombosis, presenting with headache, left sixth nerve palsy, and papilledema. The diagnosis of CSVT was established by cranial computed tomography, magnetic resonance imaging, and magnetic resonance angiography. He gradually recovered after anticoagulant therapy. CSVT is very rare in nephrotic children. The diagnosis of CSVT should be considered in any patient with nephrotic syndrome who develops neurologic symptoms. This report highlights the importance of suspecting and recognizing this potentially life threatening complication and initiating early treatment.http://dx.doi.org/10.1155/2011/724950
spellingShingle L. Ghedira Besbes
S. Haddad
A. Gabsi
M. Hassine
Ch. Ben Meriem
M. N. Guediche
Cerebral Sinovenous Thrombosis in a Child with Idiopathic Nephrotic Syndrome
Case Reports in Nephrology
title Cerebral Sinovenous Thrombosis in a Child with Idiopathic Nephrotic Syndrome
title_full Cerebral Sinovenous Thrombosis in a Child with Idiopathic Nephrotic Syndrome
title_fullStr Cerebral Sinovenous Thrombosis in a Child with Idiopathic Nephrotic Syndrome
title_full_unstemmed Cerebral Sinovenous Thrombosis in a Child with Idiopathic Nephrotic Syndrome
title_short Cerebral Sinovenous Thrombosis in a Child with Idiopathic Nephrotic Syndrome
title_sort cerebral sinovenous thrombosis in a child with idiopathic nephrotic syndrome
url http://dx.doi.org/10.1155/2011/724950
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