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Year : 2021  |  Volume : 69  |  Issue : 4  |  Page : 1021--1023

Cerebral Venous Sinus Thrombosis in a Child with Lesch–Nyhan Syndrome

1 Child Neurology Division, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India
2 Division of Genetics, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India
3 Department of Radiodiagnosis, Jai Prakash Narayan Trauma Centre, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Sheffali Gulati
Child Neurology Division, Department of Pediatrics, Room No. 3056, Third Floor, Teaching Block, All India Institute of Medical Sciences, New Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.325342

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Lesch–Nyhan syndrome is a rare neurometabolic condition characterized by progressive choreoathetosis, intellectual disability, and peculiar manifestations like self-mutilation. Occasional case reports in adults have suggested an association between Lesch–Nyhan syndrome and hypercoagulability; however, no such report of either a venous or arterial stroke in children with Lesch–Nyhan Syndrome exists in literature. We present a 3-year-old boy with global developmental delay, dystonic posturing, choreoathetoid movements, and self-mutilation involving fingers and lips. He had acute worsening of sensorium, recurrent seizures, and opisthotonous posturing. A diagnosis of Lesch–Nyhan Syndrome was confirmed by extremely low hypoxanthine-guanine phosphoribosyltransferase enzyme levels. In view of an acute neurological deterioration, magnetic resonance imaging brain and magnetic resonance venogram were done that showed sagittal and left transverse venous sinus thrombosis. This case is the first case report of cerebral venous sinus thrombosis in a child with Lesch–Nyhan Syndrome. It further strengthens the association between hypercoagulability and Lesch–Nyhan syndrome.


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