Wong V K, LeMesurier J, Franceschini R, Heikali M, Hanson R
Southern California Permanente Medical Center, Los Angeles.
Pediatr Neurol. 1987 Jul-Aug;3(4):235-7. doi: 10.1016/0887-8994(87)90026-9.
Intracranial venous thrombosis has been described in newborns, but there have been no reports of intractable neonatal seizures due to this condition. We report cortical venous sinus thrombosis in two term neonates who presented with seizures in the first 24 hours of life. The diagnosis was made by cranial computed tomography and was confirmed by cerebral angiography. Both patients improved clinically after the intracranial venous thrombosis resolved. These patients demonstrate that intracranial venous thrombosis should be considered in the differential diagnosis of neonatal seizures.
颅内静脉血栓形成在新生儿中已有报道,但尚无因该病症导致新生儿难治性癫痫发作的报告。我们报告了两名足月儿,他们在出生后24小时内出现癫痫发作,诊断为皮质静脉窦血栓形成。诊断通过头颅计算机断层扫描做出,并经脑血管造影证实。颅内静脉血栓形成消退后,两名患者的临床症状均有所改善。这些患者表明,在新生儿癫痫发作的鉴别诊断中应考虑颅内静脉血栓形成。