| Autor: |
Basse I; Service de Pédiatrie, Hôpital pour Enfants de Diamniadio, Université de Thiès, Sénégal., Diagne/Gueye NR; Service de Pédiatrie, Hôpital pour Enfants de Diamniadio, Université de Thiès, Sénégal., Ndiaye N; Service de Pédiatrie, Hôpital pour Enfants de Diamniadio, Université de Thiès, Sénégal., Mbengue M; Service de Radiologie, Hôpital pour Enfants de Diamniadio, Sénégal., Obambi DC; Service de Pédiatrie, Hôpital pour Enfants de Diamniadio, Université de Thiès, Sénégal., Ba A; Hôpital d'Enfants Albert Royer, Université Cheikh Anta Diop (CAD) de Dakar, Sénégal., Fall AL; Hôpital d'Enfants Albert Royer, Université Cheikh Anta Diop (CAD) de Dakar, Sénégal., Ndongo AA; Service de Pédiatrie, Hôpital pour Enfants de Diamniadio, Université de Thiès, Sénégal., Boiro D; Service de Pédiatrie, Centre Hospitalier National Abass Ndao, Université CAD de Dakar, Sénégal., Ba A; Hôpital d'Enfants Albert Royer, Université Cheikh Anta Diop (CAD) de Dakar, Sénégal. |
| Abstrakt: |
CVT is generally rare, particularly among infants. The occurrence of a SAH associated with CVT is very uncommon and only a few cases have been reported in the literature. Symptoms are variable and often misleading. Outcome can be lethal or it can cause potentially severe sequelae if it is not treated or treated late. We report the case of a 22-month old infant examined for convulsions with Stage II coma, intracranial hypertension syndrome and infectious syndrome. Laboratory tests showed pseudomonas spp sepsis and cerebral CT scan allowed the diagnosis. Treatment was based on antibiotic therapy but mainly on anticoagulation therapy. The patient had a significant clinical improvement and follow-up cerebral CT scan showed disappearance of thrombosis with sequellar right hemoragic images. CVT is a severe disease, usually of infectious origin. Anticoagulant therapy is controversial, in particular in patients with associated hemorrhage, but clinical experience supports the effectiveness and safety of this treatment. |
