Sonographic Diagnosis of Neonatal Cerebral Venous Sinus Thrombosis

Cerebral venous thrombosis (CVT) is an uncommon but fatal disease in the pediatric age group, with a neonatal preponderance. The clinical presentation is nonspecific. Within the first 48 hours, the neonate usually presents with nonspecific signs such as respiratory distress, poor tone, and asphyxia. Neurological signs such as seizures, lethargy, apnea, and poor feeding set in later. We present the case of a neonatal CVT, presenting as asphyxia and respiratory depression on day 1 of life. CVT was diagnosed on neonatal cranial ultrasound. The patient died 3 days later.