Puerperal superior sagittal sinus thrombosis and pulmonary embolism: A case report and review of literature

Femi, OL; Mohammed, Haya Jasim; Musa, EM; Ibrahim, DA; Gwaram, Baffa A; Dutse, AI

doi:10.4103/2278-960x.129287

Cited by 3 publications

(6 citation statements)

References 21 publications

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“…Headache (80-90%) is the most common presenting symptom that could be isolated in up to 5% of cases. In the international study on cerebral vein and dural sinus thrombosis, focal or generalized seizures and paresis were seen in up to 40% of patients, changes of the mental status and aphasia were reported in around 20%, and approximately 10% presented with coma [5].…”

Section: Discussionmentioning

confidence: 99%

“…In recent years early diagnosis of CVST has been possible because of improved non-invasive imaging techniques [5]. CT angiography and MRI in combination with MRV is the choice of imaging modality for the diagnosis of CVST [6].…”

Section: Ssst Inmentioning

confidence: 99%

“…Women are particularly vulnerable prior to delivery and during the postpartum period because of the hypercoagulable state that accompanies pregnancy. Apart from pregnancy and puerperium, the etiological factors for CVST include oral contraceptives, carcinoma, hypercoagulable state, leiomyoma, vasculitis, inflammatory bowel disease, head trauma, intracranial or systemic infections, dehydration, substance abuse, and Behcet's disease [5,7].…”

Section: Introductionmentioning

confidence: 99%

“…SSST may present with unilateral paralysis that extends to the other side, secondary to extension of the clot into the cerebral veins. Because of the location, this may present as a unilateral lower extremity weakness or paraplegia [5,7]. Various imaging techniques are used to confirm the diagnosis, with CT angiography and magnetic resonance imaging (MRI) being most sensitive and specific [6].…”

Section: Introductionmentioning

confidence: 99%

“…CVST is an uncommon complication in pregnancy and puerperium, with an incidence of 1:10,000 to 1:25,000 deliveries [4,5]. Mortality rates associated with CVST range from 6% to 10%, and approximately 80-90% completely recover if appropriate and timely treatment is undertaken [6].…”

Section: Introductionmentioning

confidence: 99%

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Complete Superior Sagittal Sinus Thrombosis Along With Subarachnoid Hemorrhage During Early Postpartum Period, Presented by Left Hemiparesis: A Rare Case Report

2017

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Cerebral venous sinus thrombosis (CVST) is a fatal neurological emergency during pregnancy and puerperium. We report a 25-yearold woman with superior sagittal sinus thrombosis (SSST) along with subarachnoid hemorrhage developed 4 days after an uncomplicated vaginal birth, presenting with a 3-day history of global headache and sudden onset of left-sided hemiparesis. After confirmatory diagnosis by magnetic resonance imaging (MRI) of the brain, she was treated with low molecular weight heparin (LMWH) followed by warfarin. She recovered within a few weeks and was regularly followed up. SSST may present during puerperium to the obstetrician and physician with various non-specific presentations, so physicians caring for women in the peripartum period should be familiar with the differential diagnosis and have a high index of suspicion for CVST with or without intracranial hemorrhage. A multidisciplinary approach is important to the management of this rare complication of pregnancy and puerperium.

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Section: Discussionmentioning

confidence: 99%

Section: Ssst Inmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Complete Superior Sagittal Sinus Thrombosis Along With Subarachnoid Hemorrhage During Early Postpartum Period, Presented by Left Hemiparesis: A Rare Case Report

2017

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Acute vision loss in post-partum period as presenting symptom of HIV-associated cryptococcal meningitis–an unusual case report

Garg

Malhotra

et al. 2016

BMC Infect Dis

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BackgroundAcute vision loss in the post-partum period can occur due to many reasons. Eclampsia, posterior reversible encephalopathy syndrome (PRES), pituitary apoplexy, and central serous retinopathy are some of the important causes. Cryptococcal meningitis as a cause of acute vision loss in the post-partum period has not been mentioned in literature.Case presentationA 25-year-old female presented to us with acute bilateral complete vision loss in the post-partum period. Her serum was tested positive for HIV antibodies. Cerebrospinal fluid (CSF) examination revealed cryptococcal meningitis. She was started on amphotericin B, antiretroviral drugs, and steroids. Though symptoms of meningitis resolved after treatment no significant improvement in vision was observed at 3 months.ConclusionsCryptococcal meningitis may be considered as one of the causes of acute vision loss in pregnant/post-partum females with human immunodeficiency virus (HIV) positivity.

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Prevention of thromboembolic complications in obstetric practice

Akhvlediani,

Mel’nikov,

Logutova

et al. 2024

Rus. Bull. Obstet.-Gynecol.

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Puerperal superior sagittal sinus thrombosis and pulmonary embolism: A case report and review of literature

Cited by 3 publications

References 21 publications

Complete Superior Sagittal Sinus Thrombosis Along With Subarachnoid Hemorrhage During Early Postpartum Period, Presented by Left Hemiparesis: A Rare Case Report

Complete Superior Sagittal Sinus Thrombosis Along With Subarachnoid Hemorrhage During Early Postpartum Period, Presented by Left Hemiparesis: A Rare Case Report

Acute vision loss in post-partum period as presenting symptom of HIV-associated cryptococcal meningitis–an unusual case report

Prevention of thromboembolic complications in obstetric practice

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