Cerebral venous thrombosis in a child with iron deficiency anemia and thrombocytosis

We describe a 22-month-old boy with iron deficiency anemia and reactive thrombocytosis who developed vomiting, headache, mental status changes, and seizures. Computed tomography showed infarction of the basal ganglia and thalami. Magnetic resonance imaging revealed cerebral venous thrombosis, deline...

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Bibliographic Details
Published in:Stroke (1970) 1990-03, Vol.21 (3), p.488-493
Main Authors: LESGOLD BELMAN, A, ROQUE, C. T, ANCONA, R, ANAND, A. K, DAVIS, R. P
Format: Article
Language:English
Subjects:
Anemia - blood
Anemia - complications
Biological and medical sciences
Blood Cell Count
Cerebral Veins
Humans
Infant
Iron - deficiency
Magnetic Resonance Imaging
Male
Medical sciences
Neurology
Thrombocytosis - complications
Thrombophlebitis - diagnosis
Thrombophlebitis - diagnostic imaging
Thrombophlebitis - etiology
Tomography, X-Ray Computed
Vascular diseases and vascular malformations of the nervous system
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Summary:We describe a 22-month-old boy with iron deficiency anemia and reactive thrombocytosis who developed vomiting, headache, mental status changes, and seizures. Computed tomography showed infarction of the basal ganglia and thalami. Magnetic resonance imaging revealed cerebral venous thrombosis, delineated the extent of the vascular and associated parenchymal involvement, showed the infarcts to be hemorrhagic (a finding not imaged by computed tomography due to our patient's depressed hemoglobin level), and obviated the need for invasive angiography.
ISSN:0039-2499
1524-4628
DOI:10.1161/01.STR.21.3.488