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Seizure in Pregnancy Following Cerebral Venous Sinus Thrombosis.

Farzi F, Abdollahzadeh M, Faraji R, Chavoushi T - Anesth Pain Med (2015)

Bottom Line: Pregnancy and puerperium are known as the risk factors of cerebral venous sinus thrombosis.The final diagnosis was cerebral venous sinus thrombosis probably due to hypercoagulable state in pregnancy.If seizure occurs during the peripartum period, along with providing complete cardiovascular and respiratory support, advanced diagnostic measures are needed and cerebral venous sinus thrombosis should be considered as a possible diagnosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology, Reproductive Health Research Center, Guilan University of Medical Sciences, Rasht, Iran.

ABSTRACT

Introduction: Seizure involves less than 1% of pregnancies; however it is associated with increased maternal and fetal complications. Cerebral venous sinus thrombosis is a rare, but potentially life-threatening cause of seizure during pregnancy, presenting primarily as seizure in 12% - 31.9% of cases. Pregnancy and puerperium are known as the risk factors of cerebral venous sinus thrombosis.

Case presentation: Here is presented a case of seizure after delivery by cesarean section in an otherwise healthy woman. The final diagnosis was cerebral venous sinus thrombosis probably due to hypercoagulable state in pregnancy.

Conclusions: If seizure occurs during the peripartum period, along with providing complete cardiovascular and respiratory support, advanced diagnostic measures are needed and cerebral venous sinus thrombosis should be considered as a possible diagnosis.

No MeSH data available.


Related in: MedlinePlus

Remarked Thrombosis in Right Transverse Sinus (T1, in the second day of seizure and loss of consciousness)
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fig20607: Remarked Thrombosis in Right Transverse Sinus (T1, in the second day of seizure and loss of consciousness)

Mentions: As the seizures were not controlled by magnesium sulfate, neurologic problems were considered and in the second day brain MRI (magnetic resonance imaging) was performed that revealed obstruction of the cerebral venous plexus (Figure 1). Immediately, anticoagulation therapy was established by Celexane 40 mg twice daily. Four days later, magnetic resonance venogram (MRV) showed that the obstruction was resolved.


Seizure in Pregnancy Following Cerebral Venous Sinus Thrombosis.

Farzi F, Abdollahzadeh M, Faraji R, Chavoushi T - Anesth Pain Med (2015)

Remarked Thrombosis in Right Transverse Sinus (T1, in the second day of seizure and loss of consciousness)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4493738&req=5

fig20607: Remarked Thrombosis in Right Transverse Sinus (T1, in the second day of seizure and loss of consciousness)
Mentions: As the seizures were not controlled by magnesium sulfate, neurologic problems were considered and in the second day brain MRI (magnetic resonance imaging) was performed that revealed obstruction of the cerebral venous plexus (Figure 1). Immediately, anticoagulation therapy was established by Celexane 40 mg twice daily. Four days later, magnetic resonance venogram (MRV) showed that the obstruction was resolved.

Bottom Line: Pregnancy and puerperium are known as the risk factors of cerebral venous sinus thrombosis.The final diagnosis was cerebral venous sinus thrombosis probably due to hypercoagulable state in pregnancy.If seizure occurs during the peripartum period, along with providing complete cardiovascular and respiratory support, advanced diagnostic measures are needed and cerebral venous sinus thrombosis should be considered as a possible diagnosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology, Reproductive Health Research Center, Guilan University of Medical Sciences, Rasht, Iran.

ABSTRACT

Introduction: Seizure involves less than 1% of pregnancies; however it is associated with increased maternal and fetal complications. Cerebral venous sinus thrombosis is a rare, but potentially life-threatening cause of seizure during pregnancy, presenting primarily as seizure in 12% - 31.9% of cases. Pregnancy and puerperium are known as the risk factors of cerebral venous sinus thrombosis.

Case presentation: Here is presented a case of seizure after delivery by cesarean section in an otherwise healthy woman. The final diagnosis was cerebral venous sinus thrombosis probably due to hypercoagulable state in pregnancy.

Conclusions: If seizure occurs during the peripartum period, along with providing complete cardiovascular and respiratory support, advanced diagnostic measures are needed and cerebral venous sinus thrombosis should be considered as a possible diagnosis.

No MeSH data available.


Related in: MedlinePlus