References

Al-Sulaiman A. Clinical Aspects, Diagnosis and Management of Cerebral Vein and Dural Sinus Thrombosis: A Literature Review. Saudi J Med Med Sci. 2019; 7:(3)137-145 https://doi.org/10.4103/sjmms.sjmms_22_19

Alvis-Miranda HR, Castellar-Leones SM, Alcala-Cerra G Moscote-Salazar LR. Cerebral sinus venous thrombosis. J Neurosci Rural Pract. 2013; 4:(4)427-438

Boucelma M. Cerebral venous and sinus thrombosis. J Neurosci Rural Pract. 2013; 4:(4)381-382

Bręborowicz G.H. Położnictwo i Ginekologia Tom 1. Warszawa, PZWL Wydawnictwo Lekarskie. 2016; 1020:48-50

Dhadke VN, Dhadke SV, Kulkarni A. Clinical Profile of Cerebral Venous Sinus Thrombosis. J Assoc Physicians India. 2020; 68:(3)33-35

de Freitas GR, Bogousslavsky J. Risk factors of cerebral vein and sinus thrombosis. Front Neurol Neurosci. 2008; 23:23-54

Devasagayam S, Wyatt B, Leyden J, Kleinig T. Cerebral Venous Sinus Thrombosis Incidence Is Higher Than Previously Thought: A Retrospective Population-Based Study. Stroke. 2016; 47:(9)2180-2

Ehler E, Kopal A, Mrklovský M, Kostál M. Cerebral Venous Thrombosis after a Cesarean Delivery. Acta medica (Hradec Králové) / Universitas Carolina, Facultas Medica Hradec Králové. 2010; 53:109-13

Ferro JM, Bousser MG, Canhão P, Coutinho JM, Crassard I, Dentali F, di Minno M, Maino A, Martinelli I, Masuhr F, Aguiar de Sousa D, Stam J European Stroke Organization guideline for the diagnosis and treatment of cerebral venous thrombosis - endorsed by the European Academy of Neurology. Eur J Neurol. 2017; 24:(10)1203-1213 https://doi.org/10.1111/ene.13381

Heit JA, Spencer FA, White RH. The epidemiology of venous thromboembolism. J Thromb Thrombolysis. 2016; 41:(1)3-14

John Hopkins Medicine (JHM). Cerebral Venous Sinuous Thrombosis. 2020. https://www.hopkinsmedicine.org/health/conditions-and-diseases/cerebral-venous-sinus-thrombosis (access: 17.03.2020)

Kalita J, Chandra S, Misra UK. Significance of seizure in cerebral venous sinus thrombosis. Seizure. 2012; 21:(8)639-42

Luo Y, Tian X, Wang X. Diagnosis and Treatment of Cerebral Venous Thrombosis: A Review. Front Aging Neurosci. 2018; 10

Ruiz-Sandoval JL, Chiquete E, Banuelos-Becerra LJ, Torres-Anguiano C, Gonzalez-Padilla C, Arauz A, León-Jiménez C., Murillo-Bonilla LM, Villarreal-Careaga J, Barinagarrementería F, Cantú-Brito C Cerebral venous thrombosis in a Mexican multicenter registry of acute cerebrovascular disease: the RENAMEVASC study. J Stroke Cerebrovasc Dis. 2012; 21:(5)395-400

Saposnik G, Barinagarrementeria F, Brown RD., Bushnell CD, Cucchiara B, Cushman M American Heart Association Stroke Council on Epidemiology and Prevention. Diagnosis and management of cerebral venous thrombosis: A statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2011; 42:1158-92

Soydinc HE, Ozler A, Evsen MS, Sak ME, Turgut A, Basaranoglu S, Dusak A, Cetincakmak MG. A case of cerebral sinus venous thrombosis resulting in mortality in severe preeclamptic pregnant woman. Case Rep Obstet Gynecol. 2013;

Cerebral venous sinus thrombosis viewed as a postpartum complication

02 January 2021
4 min read
Volume 29 · Issue 1

Abstract

Cerebral venous sinus thrombosis (CVST) is a rare type of stroke caused by a clot forming in one of the cerebral sinuses and subsequent blockage in blood drainage. The clinical presentation of this disease can be atypical and diagnosis might be challenging. The patient in this case study was a 33-year-old woman admitted to the perinatology clinic at 39+5 weeks of gestation to perform a planned caesarean section, who had previously been discharged home in good condition. The patient was readmitted to the hospital because of a headache, tingling sensation, and elevated D-dimers. A performed Computed Tomography scan revealed low contrast signal in the left cerebral sinuses and the left internal jugular vein. The diagnosis was CVST, with blood clots present in all mentioned vessels. Subsequent magnetic resonance imaging revealed hemorrhagic venous infarctions in the left cerebral and cerebellar hemispheres. The patient was successfully treated with painkillers and heparin. No additional coagulation defect was detected.

Cerebral venous sinus thrombosis (CVST) is a rare type of stroke caused by a clot forming in one of the intracranial sinuses and subsequent blockage in blood drainage. Even though venous thromboembolism affects 0.1% of the population, CVST is a rare disease that occurs in 5 people per 1 million, annually and is responsible for 0.5% of all strokes (Ferro, 2007; Devasagayam et al, 2016; Heit et al, 2016; Luo et al, 2018; Johns Hopkins Medicine, 2020). The disease may be observed at any age, but is most likely to be diagnosed among young people, especially women (Alvis-Miranda, 2013). Though it is a relatively rare disease in the general population, it is one of the most common cerebrovascular complications in pregnancy, affecting 1.6 out of 100 000 deliveries (Saposnik et al, 2007). Like any other thrombotic process, the CVST is well explained by the traditional Virchow triad (hypercoagulability, vessel wall damage, and blood stasis) (Kumar, et al, 2018).

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