Pearl A Sutter, Megan G Anderson, Ronald Sahyouni, Jillian Plonsker, Vijay M Ravindra, David D Gonda, Michael L Levy, Klaudia Dziugan, Megan Votoupal, Michael DeCuypere, Nathan K Leclair, Sophia J Angelo, Patrick J Halloran, Jonathan E Martin, Markus J Bookland, Ian C Michelow, Laura McKay, David S Hersh
OBJECTIVE: Septic cerebral venous sinus thrombosis (CVST) is a recognized complication of pediatric sinogenic and otogenic intracranial infections. The optimal treatment paradigm remains controversial. Proponents of anticoagulation highlight its role in preventing thrombus propagation and promoting recanalization, while others cite the risk of hemorrhagic complications, especially after a neurosurgical procedure for an epidural abscess or subdural empyema. Here, the authors investigated the diagnosis, management, and outcomes of pediatric patients with sinogenic or otogenic intracranial infections and a septic CVST...
October 2023: Neurosurgical Focus