The Cribsiders S6 Ep114: Cerebral Sinus Venous Thrombosis - A Deep Conversation About Thrombosis in the Brain
Jul 17, 2024
Dr. Lauren Beslow, a pediatric neurology expert, dives into the complexities of cerebral sinus venous thrombosis (CSVT), a serious condition that can cause headaches and even coma. She uncovers key risk factors and essential diagnostic imaging techniques to aid in early detection. The discussion highlights the importance of identifying red flags in pediatric headaches and how to communicate critical medical information to families effectively. With a case study focus, Beslow emphasizes the necessity of collaborative care in managing CSVT.
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What is CSVT?
- Cerebral sinus venous thrombosis (CSVT) is a clot in brain venous sinuses blocking blood drainage and increasing pressure.
- This pressure can cause hemorrhage, venous ischemia, or occur without hemorrhage or ischemia.
Recognizing Red Flags for CSVT
- Consider recent otitis infection and double vision as red flags pointing to CSVT.
- Persistent new headaches lasting several days also warrant further evaluation and possible imaging.
Testing Vision in Kids
- Test extraocular movements by holding the child's head still and having them follow an object.
- Use finger puppets for visual acuity testing in young children who can't read letters or numbers.