Behçet’s disease as cause of sinovenous thrombosis in a pediatric patient

Abstract

Sinovenous thrombosis is very rare in the pediatric population especially beyond neonatal period. This condition can be related to various etiologies depending upon patient’s age. In this case report, we present a child with sinovenous thrombosis secondary to Behçet’s disease. This 15-year-old male was admitted to our hospital with headache after he was followed for uveitis and recurrent oral aphthous ulceration. Since the cerebrospinal fluid pressure was 58 cm H₂O and there was no lesion on cranial computed tomography and magnetic resonance imaging, he was first diagnosed as pseudotumor cerebri. In spite of acetazolamide therapy and intermittent lumber punctures, his symptoms and high cerebrospinal fluid pressure persisted. Three weeks later cranial computed tomography with contrast was performed again and thrombosis was seen in the transverse and sagittal sinuses. He was treated successfully with heparin and steroid therapy.

Keywords

Behçet’s disease - sinovenous thrombosis - pseudotumor cerebri