Superior Sagittal Sinus Thrombosis Complicating Typhoid Fever in a Teenager
Cerebral venous sinus (sinovenous) thrombosis (CSVT) is a rare life-threatening disorder in childhood that is often misdiagnosed. CSVT encompasses cavernous sinus thrombosis, lateral sinus thrombosis, and superior sagittal sinus thrombosis (SSST). We present an adolescent girl who was well until two...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-01-01
|
| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2012/201203 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832547574333046784 |
|---|---|
| author | P. O. Okunola G. E. Ofovwe M. T. Abiodun C. P. Azunna |
| author_facet | P. O. Okunola G. E. Ofovwe M. T. Abiodun C. P. Azunna |
| author_sort | P. O. Okunola |
| collection | DOAJ |
| description | Cerebral venous sinus (sinovenous) thrombosis (CSVT) is a rare life-threatening disorder in childhood that is often misdiagnosed. CSVT encompasses cavernous sinus thrombosis, lateral sinus thrombosis, and superior sagittal sinus thrombosis (SSST). We present an adolescent girl who was well until two weeks earlier when she had a throbbing frontal headache and fever with chills; she later had dyspnoea, jaundice, melena stool, multiple seizures, nuchal rigidity, and monoparesis of the right lower limb a day before admission. Urine test for Salmonella typhi Vi antigen was positive, and Widal reaction was significant. Serial cranial computerized tomography scans revealed an expanding hypodense lesion in the parafalcine region consistent with SSST or a parasagittal abscess. Inadvertent left parietal limited craniectomy confirmed SSST. She recovered completely with subsequent conservative management. Beyond neuropsychiatric complications of Typhoid fever, CSVT should be highly considered when focal neurologic deficits are present. |
| format | Article |
| id | doaj-art-675d642052ec43c1b0996f54167d70c6 |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-675d642052ec43c1b0996f54167d70c62025-02-03T06:44:21ZengWileyCase Reports in Pediatrics2090-68032090-68112012-01-01201210.1155/2012/201203201203Superior Sagittal Sinus Thrombosis Complicating Typhoid Fever in a TeenagerP. O. Okunola0G. E. Ofovwe1M. T. Abiodun2C. P. Azunna3Department of Child Health, University of Benin Teaching Hospital, Benin City 300001, NigeriaDepartment of Child Health, University of Benin Teaching Hospital, Benin City 300001, NigeriaDepartment of Child Health, University of Benin Teaching Hospital, Benin City 300001, NigeriaDepartment of Child Health, University of Benin Teaching Hospital, Benin City 300001, NigeriaCerebral venous sinus (sinovenous) thrombosis (CSVT) is a rare life-threatening disorder in childhood that is often misdiagnosed. CSVT encompasses cavernous sinus thrombosis, lateral sinus thrombosis, and superior sagittal sinus thrombosis (SSST). We present an adolescent girl who was well until two weeks earlier when she had a throbbing frontal headache and fever with chills; she later had dyspnoea, jaundice, melena stool, multiple seizures, nuchal rigidity, and monoparesis of the right lower limb a day before admission. Urine test for Salmonella typhi Vi antigen was positive, and Widal reaction was significant. Serial cranial computerized tomography scans revealed an expanding hypodense lesion in the parafalcine region consistent with SSST or a parasagittal abscess. Inadvertent left parietal limited craniectomy confirmed SSST. She recovered completely with subsequent conservative management. Beyond neuropsychiatric complications of Typhoid fever, CSVT should be highly considered when focal neurologic deficits are present.http://dx.doi.org/10.1155/2012/201203 |
| spellingShingle | P. O. Okunola G. E. Ofovwe M. T. Abiodun C. P. Azunna Superior Sagittal Sinus Thrombosis Complicating Typhoid Fever in a Teenager Case Reports in Pediatrics |
| title | Superior Sagittal Sinus Thrombosis Complicating Typhoid Fever in a Teenager |
| title_full | Superior Sagittal Sinus Thrombosis Complicating Typhoid Fever in a Teenager |
| title_fullStr | Superior Sagittal Sinus Thrombosis Complicating Typhoid Fever in a Teenager |
| title_full_unstemmed | Superior Sagittal Sinus Thrombosis Complicating Typhoid Fever in a Teenager |
| title_short | Superior Sagittal Sinus Thrombosis Complicating Typhoid Fever in a Teenager |
| title_sort | superior sagittal sinus thrombosis complicating typhoid fever in a teenager |
| url | http://dx.doi.org/10.1155/2012/201203 |
| work_keys_str_mv | AT pookunola superiorsagittalsinusthrombosiscomplicatingtyphoidfeverinateenager AT geofovwe superiorsagittalsinusthrombosiscomplicatingtyphoidfeverinateenager AT mtabiodun superiorsagittalsinusthrombosiscomplicatingtyphoidfeverinateenager AT cpazunna superiorsagittalsinusthrombosiscomplicatingtyphoidfeverinateenager |