Cerebral venous thrombosis in a child with nephrotic syndrome: case report

Children with nephrotic syndrome are at increased risk of thromboembolic complications, particularly at the onset of disease or during a relapse, and the presence of neurological symptoms suggests the possibility of cerebral venous thrombosis. Early recognition and diagnosis allow the clinician to commence appropriate anticoagulation therapy and to thereby reduce the morbidity associated with CVT. This case demonstrates that resource-poor health centres have the ability to provide high standards of evidence-based clinical care, with positive outcomes, in complex cases such as a CVT, even when radiological confirmation is not possible. We were able to successfully treat the patient with anticoagulation therapy, reverse his acute clinical presentation, and restore his normal neurological function following presumptive diagnosis based solely on the clinical presentation