Puerperium Döneminde Gerçekleşen Venöz Sinüs Trombozu Olgusu

Öz

Venöz sinus trombozu nadir görülen derin komadan izole baş ağrılarına kadar farklı şekilde semptom verebilen bir durumdur.
Fakat %60 vakanın gebe ve lohusalık döneminde artan pıhtılaşma faktörlerine bağlı olarak bu dönemlerde görüldüğü saptanmıştır.
Olgumuzda eylemde ikiz gebelik nedeniyle C/S abdominale ile doğum yapan hastamızın postpartum 12.gününde geçirdiği tonik klonik
nöbeti sonrası yapılan intrakranial görüntülemede venöz sinus trombozu tespit edilmiştir.Erken tanı konulmadığı takdirde morbidite
ve mortalitenin yüksek olduğu bu durumda hastanın tanı sonrası 5gün yoğun bakım 5 gün serviste tedavisi gerçekleştirilmiştir. Biz
gebelikte ve puerperium döneminde görülme ihtimali artan venöz sinus trombozu olgumuzu sizle paylaşarak sadece izole baş ağrısı
ile bile klinik olarak prezente olabilen morbidite ve mortalitesi yüksek olan durum hakkında farkındalığı arttırmak istedik.

Anahtar Kelimeler

• Venöz sinüs trombozu
• antikoagülasyon
• lohusalık

A VENOUS SINUS THROMBOSIS CASE IN THE PUERPERIUM PERIOD

Abstract

Venous sinus thrombosis is a condition that can present different symptoms, from a deep coma to isolated headaches. However, 60% of the cases were found to be seen in these periods due to increased coagulation factors during pregnancy and puerperium. In our case, our patient who gave birth with C / S abdominal due to twin pregnancy in labor, venous sinus thrombosis was detected in intracranial imaging performed after a tonic-clonic seizure on the 12th day of postpartum. If not diagnosed, morbidity and mortality were high, and the patient was treated in intensive care for five days and in the ward for five days after diagnosis. We wanted to raise awareness about the situation with high morbidity and mortality, which can be clinically presented even with headache, by sharing our venous sinus thrombosis case, which is likely to be seen during pregnancy and puerperium period with you.

Keywords

• VENOUS SINUS THROMBOSIS
• ANTICOAGULATION
• PUERPERİUM

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