Open AccessCerebral venous sinus thrombosis presenting in pregnancy and puerperium
Author(s) -
Ganesh Dangal,
Lekhjung Thapa
Publication year - 2009
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.06.2009.2045
Subject(s) - medicine , cerebral venous sinus thrombosis , pregnancy , low molecular weight heparin , venous thrombosis , warfarin , magnetic resonance imaging , thrombosis , venography , venous thromboembolism , postpartum period , radiology , obstetrics , surgery , atrial fibrillation , genetics , biology
Cerebral venous sinus thrombosis (CVST) during pregnancy and puerperium is an uncommon diagnosis. CVST can present with wide range of symptoms and signs, and most of the time it is left undiagnosed. Here, three cases of CVST in early pregnancy and puerperium in young women who presented with seizure attacks, altered sensorium and severe headache, respectively, are reported. Subsequent imaging with MRI and magnetic resonance venography (MRV) showed CVST in the first two cases, whereas in the third case it showed a venous infarction. All were treated with low molecular weight heparin followed by warfarin. They all made excellent recoveries and are in regular follow-up.