Cerebral venous thrombosis in a post-partum patient

Background: Diagnosis of Cerebral venous thrombosis (CVT) is challenging as it is an uncommon cause of stroke with varied clinical presentations, predisposing factors, imaging findings, and outcomes. Prompt and accurate diagnosis is important for timely intervention in order to reverse and significantly reduce the acute and long-term sequel. Aims and objectives was to study cerebral venous thrombosis in pregnant and post-partum women.Methods: Hundred pregnant and postpartum women having CVT were studied at Kamla Raja Hospital and JA Group of Hospital at GR Medical College, Gwalior Madhya Pradesh for study period of 2016 to 2017. All the women had undergone CT/MRI and MRV.Results: Age of CVT patients ranged from 18-35 years with a maximum incidence (84%) in the 2nd decade (20-30 years). Sixty two percent women had infarction; out of that 53% had hemorrhagic infarction. Frontal lobe (10%) and temporal lobe (10%) were more affected. Superior sagittal sinus (SSS) was most commonly involved (71%) followed by transverse sinus (66%) and sigmoid sinus (45%). Superficial venous system was involved in 32 patients while deep venous system was involved in 20 patients. Majority of (82%) patients had combination of sinuses and venous involvement.Conclusions: CVT was more prevalent in young pregnant and postpartum women. Hemorrhagic infarction were common and affecting frontal and temporal lobe. SSS were mostly affected in CVT. MRV should be the first line diagnostic tool for diagnosis of CVT in pregnant and postpartum women.

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Risk factors and clinical manifestations of cerebral venous thrombosis in patients admitted to Zahedan city hospitals during 2011-2017

Asian Journal of Medical Sciences ◽

10.3126/ajms.v9i3.19184 ◽

2018 ◽

Vol 9 (3) ◽

pp. 6-9 ◽

Cited By ~ 1

Author(s):

Hamed Amirifard ◽

Alireza Khosravi ◽

Hoseinali Akbarian

Keyword(s):

Risk Factors ◽

Venous Thrombosis ◽

Cerebral Venous Thrombosis ◽

Clinical Symptoms ◽

Post Partum ◽

Oral Contraceptive Pill ◽

Clinical Manifestations ◽

City Hospital ◽

Blood Clots ◽

Prevalent Symptom

Background: In Cerebral venous thrombosis (CVT), blood clots are create in the veins and, blood clots may form in the veins or sinuses. In 78% of cases this problem occurred in people lower than 50 years and in women more than men. The annual prevalence of CVT in Iran was 12.3 per one million which was 2.5 times more than world prevalence.Aims and Objective: The aim of this study was to investigate the Risk factors and clinical manifestations of cerebral venous thrombosis in patients admitted to Zahedan city hospitals. Methods and Materials: This retrospective descriptive study was done on 50 patients with CVT which hospitalized in the Zahedan city hospital. Necessary information such as clinical symptoms, risk factors and demographic data extracted from patients file and analyzed by statistical methods in SPSS.16.Results: In this study, 68% of patients were female and 32% were male. The most prevalent season was summer age group 34-43 years constituting about 28 % of the cases. The prevalent season was summer with 38 % cases and headache was the most prevalent symptom (66%). The most prevalent risk factor was infection comprising 30 % of the total patients.Conclusion: Results showed higher prevalence of CVT in women than in men which could be due to the positive relation between prevalence of this disease and risk factors such as oral contraceptive pill (OCP), pregnancy and post-partum period. Also, in this study the most prevalent symptom was headache and the most prevalent season was summer, which could be due to dehydration of patients. The validity of the current study could be further substantiated with study in the similar pattern with more sample size.Asian Journal of Medical Sciences Vol.9(2) 2018 6-9

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A study on clinical and radiological profile of post-partum cerebral venous thrombosis

MedPulse International Journal of Radiology ◽

10.26611/10131135 ◽

2019 ◽

Vol 11 (3) ◽

pp. 119-121

Author(s):

Sharana Basappa G M

Keyword(s):

Venous Thrombosis ◽

Cerebral Venous Thrombosis ◽

Post Partum

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Cerebral Venous Thrombosis Initially Considered as a Complication of Spinal-Epidural Anaesthesia

Journal of International Medical Research ◽

10.1177/147323000503300615 ◽

2005 ◽

Vol 33 (6) ◽

pp. 711-714 ◽

Cited By ~ 10

Author(s):

A Karci ◽

F Boyaci ◽

E Yaka ◽

R Çakmur ◽

S Men ◽

...

Keyword(s):

Venous Thrombosis ◽

Epidural Anaesthesia ◽

Cerebral Venous Thrombosis ◽

Post Partum ◽

Epileptic Seizures ◽

Complete Recovery ◽

Motor Deficits ◽

Resonance Imaging ◽

Unusual Condition ◽

Spinal Epidural

Cerebral venous thrombosis is an unusual condition characterized by headache, nausea, vomiting, focal deficits and epileptic seizures. In this case report we describe a patient who presented with headache and focal motor deficits after an uneventful Caesarean section, performed using combined spinal-epidural anaesthesia. Magnetic resonance imaging was performed because of the pronounced neurological symptoms, and a diagnosis of cerebral venous thrombosis was made. The patient was treated with anticoagulant agents and made a complete recovery. This case emphasizes the importance of considering cerebral venous thrombosis in the differential diagnosis of headache in the post-partum period prior to instituting conventional therapy.

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