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Paediatrics and International Child Health Volume 32, 2012 - Issue 3
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Case Report

Dural sinus thrombosis owing to polycythaemia vera in a 12-year-old girl

H X GuoDepartment of PaediatricsSun Yat-sen University, Guangzhou, GuangdongCorrespondence[email protected]
,
G C ChanDepartment of Paediatrics & Adolescent HealthQueen Mary Hospital, Li Ka-shing Faculty of Medicine, The University of Hong Kong
,
A K ChiangDepartment of Paediatrics & Adolescent HealthQueen Mary Hospital, Li Ka-shing Faculty of Medicine, The University of Hong Kong
,
M H HoDepartment of Paediatrics & Adolescent HealthQueen Mary Hospital, Li Ka-shing Faculty of Medicine, The University of Hong Kong
,
E Y T ChanDepartment of Paediatrics, Kwong Wah Hospital, Hong Kong, China
&
S Y HaDepartment of Paediatrics & Adolescent HealthQueen Mary Hospital, Li Ka-shing Faculty of Medicine, The University of Hong Kong
Pages 167-170 | Received 30 Jun 2011, Accepted 08 Feb 2012, Published online: 12 Nov 2013
 
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Abstract

Because of the rarity of dural sinus thrombosis in children with polycythaemia vera (PV), the options for diagnosis and treatment remain elusive. A 12-year-old girl was admitted with dural sinus thrombosis associated with PV, diagnosed by magnetic resonance venography. She was managed with interventional endovascular thrombolectomy and venoplasty, phlebotomy, hydroxyurea, low molecular weight heparin, and aspirin followed by warfarin. She made a good recovery without residual neurological deficit. This case highlights the importance of diagnosis and appropriate intervention with multi-modality treatments in patients with PV and thrombosis.

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