Cerebral sinovenous thrombosis in a child with ulcerative colitis: A case report

Abstract

Cerebral sinovenous thrombosis (CSVT) is a rare and under-diagnosed complication of ulcerative colitis. We report a case of a 14-year-old male child, who presented with a history of worsening headaches, vomiting and decreased level of consciousness. He was diagnosed to have CSVT with infarction on magnetic resonance imaging of the brain. He was treated with low molecular weight heparin and discharged home with a mild right-sided hemiparesis. At a year follow-up, his neurological examination was normal. The use of antithrombotic therapy, in particular low molecular weight heparin can be effective in reducing the mortality and morbidity associated with CSVT. Nevertheless, randomized placebo-controlled studies are necessary for assessing its efficacy and absence of risk in children.