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  • Perinatal/Neonatal Case Presentation
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Perinatal/Neonatal Case Presentation

Acute paraplegia in a preterm infant with cerebral sinovenous thrombosis

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Abstract

We report the case of a 1-month old, 28-week gestational age infant who presented with acute paraplegia after cardiopulmonary arrest. Later imaging confirms cerebral sinovenous thrombosis (CSVT) and a suspected infarction in the conus medullaris of the spinal cord. A prothrombotic state may explain the numerous areas of infarction visualized on neuroimaging. To our knowledge this is the first case report of acute and persistent paraplegia in an infant with CSVT and conus medullaris injury, which may be due to venous infarction of the spinal cord.

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Acknowledgements

We thank Drs Frances J Northington, Adam Hartman, Thierry AGM Huisman and the Neuroscience Intensive care Nursery Program group at Johns Hopkins University for their support. Support has been provided by Sheila S and Lawrence C Pakula, M.D. Endowment for Neonatal Research.

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Correspondence to R Chavez-Valdez.

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Hobbs, J., Tekes, A., Klein, J. et al. Acute paraplegia in a preterm infant with cerebral sinovenous thrombosis. J Perinatol 35, 460–462 (2015). https://doi.org/10.1038/jp.2015.26

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