The authors report a 39-year-old woman who presented with intermittent, excruciating nuchal and occipital headache. Magnetic resonance imaging and magnetic resonance angiography scans showed bilateral subdural haematomas with veno-occlusive disease of the superficial and deep venous systems. There were bridging collaterals with scalp veins, bleeds from which could explain the subdural haematoma. There was acute on chronic veno-occlusive disease with an acute rise in intracranial pressure and a bleed from the vein of Galen.
Cerebral vein thrombosis is an uncommon disorder in puerperium. Patient can present with various manifestations like headache, abnormal vision, or any of the symptoms of stroke such as weakness of the face and limbs on one side of the body, and seizures. We are presenting a case of primigravida with 37+2 Weeks Period of Gestation with Dichorionic Diamniotic twins with breech presentation. Post LSCS on Postoperative day 5. Patient presented with severe headache followed by seizure. MRI report came as transverse and sigmoid sinus thrombosis, managed successfully with heparin and mannitol. Patient was stable and was discharged on day 10
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