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Background <p>Cerebral venous sinus thrombosis (CVST) in children is a rare condition with diverse symptoms. Although mild head trauma is an uncommon cause, it can lead to CVST, often delaying diagnosis and treatment.</p> Case presentation <p>A 10-year-old girl who visited the emergency room 5&#xa0;days after a head injury. Initially experiencing mild dizziness, she later developed a severe headache, dizziness, nausea, and vomiting. Examination showed drowsiness and brain swelling, with a CT scan suggesting a blood clot. An MRI confirmed the clot, leading to successful thrombectomy and thrombolysis. Her symptoms improved, and follow-up tests showed the vein was clear. Over a 3-year follow-up, MRIs confirmed the vein remained open without recurrent thrombosis. The patient recovered academically and socially, with Pediatric Stroke Outcome Measure scores of 0 in all areas.</p> Conclusion <p>This case underscores the importance of considering CVST as a rare but critical diagnosis in children with mild head trauma presenting symptoms like headache, vomiting, and drowsiness.</p>

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Massive traumatic cerebral venous sinus thrombosis in a pediatric patient: a case report

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年9月24日

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  • Zhengwu Ye,
  • Jian Xu,
  • Tingting Lin

摘要

Background

Cerebral venous sinus thrombosis (CVST) in children is a rare condition with diverse symptoms. Although mild head trauma is an uncommon cause, it can lead to CVST, often delaying diagnosis and treatment.

Case presentation

A 10-year-old girl who visited the emergency room 5 days after a head injury. Initially experiencing mild dizziness, she later developed a severe headache, dizziness, nausea, and vomiting. Examination showed drowsiness and brain swelling, with a CT scan suggesting a blood clot. An MRI confirmed the clot, leading to successful thrombectomy and thrombolysis. Her symptoms improved, and follow-up tests showed the vein was clear. Over a 3-year follow-up, MRIs confirmed the vein remained open without recurrent thrombosis. The patient recovered academically and socially, with Pediatric Stroke Outcome Measure scores of 0 in all areas.

Conclusion

This case underscores the importance of considering CVST as a rare but critical diagnosis in children with mild head trauma presenting symptoms like headache, vomiting, and drowsiness.