Cerebral Venous Sinus Thrombosis Presenting with Seizure in Pregnancy

Abstract

Introduction: Cerebral venous sinus thrombosis is a rare condition. The most frequent symptoms and signs are headache, focal seizures with or without secondary generalization, unilateral or bilateral paresis, and papilledema. We report a case of left transverse sinus and sigmoid sinus thrombosis that presented with seizure in a pregnant woman.Case Report: A 31-year-old woman at 33 weeks of pregnancy was admitted with sudden onset of seizure to the emergency department. The magnetic resonance scan of her brain showed the presence of a cortical-subcortical infarction in the cerebellar hemisphere, and magnetic resonance venography ultimately revealed left transverse sinus and sigmoid sinus thrombosis. The patient was treated with phenytoin and enoxaparin; the fetus was delivered after an urgent cesarean section.Conclusion: In pregnant women presenting with seizure, cerebral venous sinus thrombosis should be also considered in the differential diagnosis

Keywords

• Cerebral venous sinus thrombosis, pregnancy, emergency medicine

Gebelikte Nöbet Geçirme Sonrasında Başvuran Serebral Sinüs Ven Trombozu

Abstract

Giriş: Serebral sinüs ven trombozu nadir bir durumdur. En sık semptom ve bulguları; sekonder jeneralizasyon gösteren ve göstermeyen fokal nöbetler, tek veya çift taraflı güçsüzlük ve papilödemdir. Bu olguda, nöbet geçirme sonrasında başvuran gebe bir kadında saptanan sol transvers ve sigmoid sinüs trombozunu sunuyoruz. Olgu Sunumu: Gebeliğinin 33. haftasında olan, 31 yaşında kadın hasta acil servise nöbet şikayeti ile başvurdu. Beyin manyetik rezonans görüntülemesinde; serebellar hemisferlerde kortikal – subkortikal enfarkt ile manyetik rezonans venografide sol transvers sinüs ve sigmoid sinüs trombozu saptandı. Hasta fenitoin ve enoksaparinle tedavi edildi; fetüs ise acil sezaryen girişimi sonrasında doğurtuldu. Sonuç: Nöbet sonrasında başvuran gebe kadın hastalarda, serebral sinüs ven trombozu da ayırıcı tanıda düşünülmelidir.

Keywords

• Serebral sinüs ven trombozu, gebelik, acil tıp

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