Extensive cerebral Sinovenous Thrombosis in a 5 Year Old Girl, Following Mild Dehydration. (Case Report and Review of Literature)

Ashrafzadeh, Farah; Akhondian, Javad; Toosi, Mehran Beiraghi; Hashemi, Nastran

doi:10.5812/ircmj.6418

Cited by 2 publications

(2 citation statements)

References 21 publications

(32 reference statements)

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“…In our database, 1 death was noted. Previously, the data suggested that a long follow-up should be done for children with CVST since 10% to 20% of them will experience recurrent events [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Study of 52 Pediatric Patients Who Required 78 Hospital Admissions for Cerebral Venous Sinus Thrombosis from 2013 to 2020 Using Data from the Polish National Health Fund Registry

et al. 2023

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The paper was prepared under the project entitled "Maps of Health Needs-Database of Systematic and Implementation Analysis" which was co-financed by the European Union from the European Social Fund as part of the Operational Program Knowledge Education Development. The study was also a part of the "Integrated Analytical Platform", which was a project co-financed by the European Union from the European Social Fund as part of the Digital Poland Project Centre (CPPC). The open access publication costs were funded by the Centre of Postgraduate Medical Education (Warsaw, Poland) Conflict of interest:None declared Background:Cerebral venous sinus thrombosis (CVST) in children is a rare disease with a complex, multifactorial etiopathogenesis. The Polish National Health Fund (NHF) Registry [Narodowy Fundusz Zdrowia (NFZ)], contains health insurance data from all 16 national provinces, or voivodeships. This study used data from the Polish NHF Registry to evaluate 52 pediatric patients who required 78 hospital admissions for CVST from 2013 to 2020. Material/Methods:The data in the Polish NHF Registry were acquired based on the disease code I67.6 from the International Classification of Diseases, Tenth Revision (ICD-10), and the patients' age (up to 18 years old). Results:We identified 78 hospitalizations of 52 pediatric patients due to CVST in Poland from 2013 to 2020 (63.5% boys and 36.5% girls, mean age 9.7±5.8 years old). The mean duration of hospitalization was 10.5±11.7 days, the mean cost of hospitalization was 3273±2191 Polish zloty (PLN). The most common age subgroup was adolescents (27%). Ten percent of patients were hospitalized in a region other than their region of residence. The duration and cost of hospitalization were positively correlated with each other (r=0.512, P<0.001). The most common type of admission was an emergency (51%), and the most common discharge was referral for further outpatient treatment (50%). Conclusions:Polish registry data showed that from 2013 to 2020, CVST was more commonly diagnosed in male adolescents from 15 to 18 years of age who presented as emergency hospital admissions. There were regional differences in incidence and duration of hospital stay and healthcare costs between patients.

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Section: Discussionmentioning

confidence: 99%

Study of 52 Pediatric Patients Who Required 78 Hospital Admissions for Cerebral Venous Sinus Thrombosis from 2013 to 2020 Using Data from the Polish National Health Fund Registry

et al. 2023

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“…Previously, rarely reported infections as the underlying causes of PTC included measles, varicella, Lyme disease, human immunodeficiency virus (HIV), and tuberculosis (16)(17)(18)(19)(20)(21). However, brucellosis has been more commonly reported recently as the trigger for PTC, compared with other mentioned infections (6,(22)(23)(24)(25)(26). As aforementioned, neuroimaging usually offers normal findings in PTC.…”

Section: Discussionmentioning

confidence: 99%

Pseudotumor cerebri due to brucellosis: A rare case report

Alimohammadi,

Babazadeh,

Ebrahimpour

et al. 2023

Preprint

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Neurobrucellosis is a focal form of brucellosis that may be life-threatening if not timely diagnosed and treated. Pseudotumor cerebri (PTC) has rarely been reported as the sole manifestation of brucellosis. A 41-yearold woman came to the hospital with chronic headaches, vertigo, and nausea. She had been experiencing symptoms for 8 months, starting with blurred vision and headache. The diagnosis was pseudotumor cerebri, managed with acetazolamide and topiramate. She had bilateral papilledema but a normal chest and cranial nerves exam. Lab tests were normal except for high ESR. Brain scans showed no issues. A lumbar puncture was done to reduce intracranial pressure. High ICP made CSF shunt necessary to prevent visual loss. However, a serum brucella agglutination test was done due to chronic neurological symptoms and lymphocyte dominance in CSF analysis. A positive result with the Wright test and 2ME titer. After two weeks, the patient was treated with gentamycin, ceftriaxone, doxycycline, and rifampin, and improved without neurosurgical intervention. Here, we have reported a case of brucellosis with severe headaches, progressive visual impairment, and fundoscopic finding of papilledema, later diagnosed as brucellosis-induced PTC.

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Extensive cerebral Sinovenous Thrombosis in a 5 Year Old Girl, Following Mild Dehydration. (Case Report and Review of Literature)

Cited by 2 publications

References 21 publications

Study of 52 Pediatric Patients Who Required 78 Hospital Admissions for Cerebral Venous Sinus Thrombosis from 2013 to 2020 Using Data from the Polish National Health Fund Registry

Study of 52 Pediatric Patients Who Required 78 Hospital Admissions for Cerebral Venous Sinus Thrombosis from 2013 to 2020 Using Data from the Polish National Health Fund Registry

Pseudotumor cerebri due to brucellosis: A rare case report

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