A Case of Extensive Cerebral Venous Thrombosis in Childhood Nephrotic Syndrome
Journal of the Korean Society of Pediatric Nephrology
; : 238-243, 2006.
Article
em Ko
| WPRIM
| ID: wpr-206552
Biblioteca responsável:
WPRO
ABSTRACT
Nephrotic syndrome in childhood is known to be associated with a hypercoagulable state and thromboembolic complications, among which cerebral venous thrombosis is a very rare and serious one, with only a few isolated reports in the literature. A 9-year-old boy with known nephrotic syndrome was admitted due to a relapse with massive proteinuria and generalized edema. He complained of a prolonged frontal headache. The enhanced brain magnetic resonance imaging(MRI) showed a high signal in the region of the superior sagittal sinus and right transverse sinus consistent with a thrombus. He was managed with steroids, cyclosporine and warfarin. His headache subsided 2 weeks later and proteinuria resolved 1 month later. An MRI 2 months later was normal. We describe this case and review the literature to emphasize the importance of recognizing this potentially life threatening complication and initiating anticoagulation therapy.
Palavras-chave
Texto completo:
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Índice:
WPRIM
Assunto principal:
Proteinúria
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Recidiva
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Esteroides
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Trombose
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Varfarina
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Encéfalo
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Imageamento por Ressonância Magnética
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Ciclosporina
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Trombose Venosa
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Edema
Limite:
Child
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Humans
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Male
Idioma:
Ko
Revista:
Journal of the Korean Society of Pediatric Nephrology
Ano de publicação:
2006
Tipo de documento:
Article