© 2004 Archives of Disease in Childhood Fetal and Neonatal Edition
IMAGES IN NEONATAL MEDICINE
Palpebral ecchymosis and cerebral venous thrombosis in a near term infant
NICU, Department of Neonatology, "L Mangiagalli" Clinic, ICP Teaching Hospitals, Via Commenda, 12, 20122 Milan, Italy; monifumagalli@hotmail.com
| The first 150 words of the full text of this article appear below. |
Cerebral venous thrombosis (CVT) is rarely diagnosed in newborn babies.1 Seizures, haemorrhagic venous infarcts, and, in particular, intraventricular haemorrhage are the most common signs of CVT in term newborns.2 Little is known about the neuroradiological and clinical presenting findings of CVT in preterm babies.
We observed bilateral palpebral ecchymosis in a 35 week gestation preterm baby (fig 1A
) with major bleeding in the posterior fossa on an ultrasound brain scan (first day of life). Computed tomography imaging on the second day confirmed the haemorrhage and showed an unexpected venous thrombosis ("empty delta sign", a triangle of decreased density caused by the contrast enhanced blood flowing around the clot) of the torcular Herophili (fig 1B). The haematoma was surgically drained and an intraventricular reservoir was inserted to treat the acute obstructive hydrocephalus.
[in a new window]
Figure 1 (A) Bilateral palpebral ecchymosis. (B) Computed tomography scan showing venous thrombosis ("empty delta sign" of torcular Herophili), | |||||||||
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in ADC Online
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
-
Hydrocephalus
-
Memory disorders (psychiatry)
-
Radiology
-
Clinical diagnostic tests
- Radiology (diagnostics)
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
