SUPERIOR SAGITTAL SINUS THROMBOSIS IN A CHILD WITH NEPHROTIC SYNDROME

A 3-year-old male with steroid-responsive nephrotic syndrome developed a rare complication, sagittal sinus thrombosis during an episode of g astroenteritis, while on steroid therapy. Anticoagulation, as assessed by partial thromboplastin time, was difficult to maintain, despite ad ministering high doses of heparin, infusions of fresh-frozen plasma to provide antithrombin III, and, subsequently, maximum doses of warfari n (0.3 mg/kg per day). Despite these problems the child made a complet e neurological recovery.