Yıl 2014, Cilt 5 , Sayı 3, Sayfalar 93 - 96 2014-03-01

Cerebral Venous Sinus Thrombosis Presenting with Seizure in Pregnancy
Gebelikte Nöbet Geçirme Sonrasında Başvuran Serebral Sinüs Ven Trombozu

Hesna Bektaş [1] , Murat Türkarslan [2] , Nurettin Özgür Doğan [3] , Çiğdem Hacıfazlıoğlu [4] , Yunsur Çevik [5]


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
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.
  • Stam J. Thrombosis of the cerebral veins and sinuses. N Engl J Med 2005; 352: 1791-8. [CrossRef]
  • Bousser MG, Ferro JM. Cerebral venous thrombosis: an update. Lancet Neurol 2007; 6: 162-70. [CrossRef]
  • de Bruijn SF, de Haan RJ, Stam J. Clinical features and prognostic factors of cerebral venous sinus thrombosis in a prospective series of 59 pati- ents. J Neurol Neurosurg Psychiatry 2001; 70: 105-8. [CrossRef]
  • Munira Y, Sakinah Z, Zunaina E. Cerebral venous sinus thrombosis pre- senting with diplopia in pregnancy: a case report. J Med Case Rep 2012; 6: 336. [CrossRef]
  • Bousser MG, Crassard I. Cerebral venous thrombosis, pregnancy and oral contraceptives. Thromb Res 2012; 130 Suppl 1: S19-22. [CrossRef]
  • Ozucelik DN, Kunt MM, Karaca MA, Çobanoglu M. Intracerebral hemorr- hage during pregnancy: Case report. AKATOS 2010; 1: 40-3.
  • Lanska DJ, Kryscio RJ. Risk factors for peripartum and postpartum stroke and intracranial venous thrombosis. Stroke 2000; 31: 1274-82. [CrossRef]
  • de Bruijn SF, Stam J, Kappelle LJ. Thunderclap headache as first symptom of cerebral venous sinus thrombosis. Lancet 1996; 348: 1623- 5. [CrossRef]
  • Wasay M, Saadatnia M, Venketasubramanian N, Kaul S, Menon B, Gu- naratne P, et al. Predictors of cerebral venous thrombosis and arterial ischemic stroke in young Asian women. J Stroke Cerebrovasc Dis 2012; 21: 689-94. [CrossRef]
  • Coutinho JM, Ferro JM, Canhão P, Barinagarrementeria F, Cantş C, Bous- ser MG, et al. Cerebral venous and sinus thrombosis in women. Stroke 2009; 40: 2356-61. [CrossRef]
Diğer ID JA55YM77MT
Bölüm Case Report
Yazarlar

Yazar: Hesna Bektaş

Yazar: Murat Türkarslan

Yazar: Nurettin Özgür Doğan

Yazar: Çiğdem Hacıfazlıoğlu

Yazar: Yunsur Çevik

Tarihler

Yayımlanma Tarihi : 1 Mart 2014

Bibtex @ { jemcr535696, journal = {Journal of Emergency Medicine Case Reports}, issn = {}, eissn = {2149-9934}, address = {Yukarı Ayrancı Güleryüz Sk. No: 26/19 06550 Çankaya-Ankara, Turkey}, publisher = {Acil Tıp Uzmanları Derneği}, year = {2014}, volume = {5}, pages = {93 - 96}, doi = {}, title = {Cerebral Venous Sinus Thrombosis Presenting with Seizure in Pregnancy}, key = {cite}, author = {Bektaş, Hesna and Türkarslan, Murat and Doğan, Nurettin Özgür and Hacıfazlıoğlu, Çiğdem and Çevik, Yunsur} }
APA Bektaş, H , Türkarslan, M , Doğan, N , Hacıfazlıoğlu, Ç , Çevik, Y . (2014). Cerebral Venous Sinus Thrombosis Presenting with Seizure in Pregnancy. Journal of Emergency Medicine Case Reports , 5 (3) , 93-96 . Retrieved from https://dergipark.org.tr/tr/pub/jemcr/issue/43669/535696
MLA Bektaş, H , Türkarslan, M , Doğan, N , Hacıfazlıoğlu, Ç , Çevik, Y . "Cerebral Venous Sinus Thrombosis Presenting with Seizure in Pregnancy". Journal of Emergency Medicine Case Reports 5 (2014 ): 93-96 <https://dergipark.org.tr/tr/pub/jemcr/issue/43669/535696>
Chicago Bektaş, H , Türkarslan, M , Doğan, N , Hacıfazlıoğlu, Ç , Çevik, Y . "Cerebral Venous Sinus Thrombosis Presenting with Seizure in Pregnancy". Journal of Emergency Medicine Case Reports 5 (2014 ): 93-96
RIS TY - JOUR T1 - Cerebral Venous Sinus Thrombosis Presenting with Seizure in Pregnancy AU - Hesna Bektaş , Murat Türkarslan , Nurettin Özgür Doğan , Çiğdem Hacıfazlıoğlu , Yunsur Çevik Y1 - 2014 PY - 2014 N1 - DO - T2 - Journal of Emergency Medicine Case Reports JF - Journal JO - JOR SP - 93 EP - 96 VL - 5 IS - 3 SN - -2149-9934 M3 - UR - Y2 - 2019 ER -
EndNote %0 Journal of Emergency Medicine Case Reports Cerebral Venous Sinus Thrombosis Presenting with Seizure in Pregnancy %A Hesna Bektaş , Murat Türkarslan , Nurettin Özgür Doğan , Çiğdem Hacıfazlıoğlu , Yunsur Çevik %T Cerebral Venous Sinus Thrombosis Presenting with Seizure in Pregnancy %D 2014 %J Journal of Emergency Medicine Case Reports %P -2149-9934 %V 5 %N 3 %R %U
ISNAD Bektaş, Hesna , Türkarslan, Murat , Doğan, Nurettin Özgür , Hacıfazlıoğlu, Çiğdem , Çevik, Yunsur . "Cerebral Venous Sinus Thrombosis Presenting with Seizure in Pregnancy". Journal of Emergency Medicine Case Reports 5 / 3 (Mart 2014): 93-96 .
AMA Bektaş H , Türkarslan M , Doğan N , Hacıfazlıoğlu Ç , Çevik Y . Cerebral Venous Sinus Thrombosis Presenting with Seizure in Pregnancy. Journal of Emergency Medicine Case Reports. 2014; 5(3): 93-96.
Vancouver Bektaş H , Türkarslan M , Doğan N , Hacıfazlıoğlu Ç , Çevik Y . Cerebral Venous Sinus Thrombosis Presenting with Seizure in Pregnancy. Journal of Emergency Medicine Case Reports. 2014; 5(3): 96-93.