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Pediatría Atención Primaria

versão impressa ISSN 1139-7632

Resumo

NOS COLOM, Andrea; GARCIA TENA, Jesús; EDO PRADES, Miguel Ángel  e  OLAYA ALAMAR, Vicente. Cerebral venous thrombosis as a complication of acute otitis media. Rev Pediatr Aten Primaria [online]. 2020, vol.22, n.88, pp.e203-e206.  Epub 24-Jan-2022. ISSN 1139-7632.

Abstract

Cerebral venous thrombosis is a rare and exceptional disease. It is a pathology probably underdiagnosed and it should always be included in the differential diagnosis of intracranial hypertension with neurological focality and/or convulsions, especially if there are known risk factors. Radiological images are essential for diagnosis. We present the case of a 5-year-old patient with convergent right eye strabismus of 3 days evolution, in the context of repeated ear otitis partially treated with antibiotherapy. Pathological examination highlighting VI right paresis and a hyperemic homolateral eardrum in otoscopy was found. Complementary tests were normal, except for elevation of the D-dimer. Regarding the radiological images obtained with cerebral magnetic resonance with venous-phase, was confirmed, and had a favourable evolution after receiving prescribed anticoagulant treatment.

Palavras-chave : Anticoagulation; Cerebral venous thrombosis; MRI; Risk factors.

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