Case Report


Cerebral venous thrombosis in pregnancy: A case report

,  ,  

1 Department of Obstetrics and Gynecology, North Devon NHS Trust, Barnstaple, Devon, UK

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Osama Selim Eskandar

Department of Obstetrics and Gynecology, North Devon NHS Trust, Barnstaple, Devon

UK

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Article ID: 100123Z08NS2022

doi: 10.5348/100123Z08NS2022CR

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How to cite this article

Shatry N, Wright A, Eskandar OS. Cerebral venous thrombosis in pregnancy: A case report. J Case Rep Images Obstet Gynecol 2022;8(2):1–3.

ABSTRACT


Cerebral venous sinus thrombosis (CVST) is a very rare condition. The incidence of CVST in general is 3–4 per million, however, in pregnancy the incidence ranges from 1/2500 to 1/10,000. Headache is the most common and first symptom of presentation of CVST. Cerebral venous sinus thrombosis can be associated with other neurological manifestations such as papilledema, focal neurological signs, diplopia, cranial nerve palsy, and psychosis. This is a case of a 28-year-old woman in her second pregnancy who presented at 38+2 weeks gestational age with migraine-like headache associated with nausea, vomiting, and blurred vision. She was diagnosed with CVST by magnetic resonance venography (MRV) which demonstrated thrombotic venous sinus occlusion. The condition was treated with therapeutic dose of low molecular weight heparin (LMWH). Although CVST is a rare condition, it should be excluded in women who present with headache in pregnancy particularly when presenting with associated neurological symptoms and signs.

Keywords: Cerebral venous thrombosis in pregnancy, Computed tomography, Low molecular weight heparin, Magnetic resonance venography

SUPPORTING INFORMATION


Author Contributions

Naima Shatry - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Andrew Wright - Drafting the article, Final approval of the version to be published

Osama Selim Eskandar - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2022 Naima Shatry et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.