Successful management of an extensive intracranial sinus thrombosis in a patient undergoing IVF: case report and review of literature

Le syndrome d’hyperstimulation ovarienne : physiopathologie, facteurs de risque, prévention et prise en charge

“…L'incidence est difficile Complication hémodynamique Dysfonction circulatoire à évaluer car il s'agit dans la majorité des cas de case report [185][186][187][188][189][190][191]. Serour et al [192] sur 3500 cycles de FIV rapportaient une incidence de 10 %.…”

“…Elles ne concernent paradoxalement pas que les OHSS sévères mais également les OHSS légers et modérés [181] et peuvent survenir même après la guérison clinique de l'OHSS. Ces thromboses ont la particularité de toucher les membres inférieurs mais également les membres supérieurs et/ou le réseau céré-bral ou coronaire [185][186][187][188][189][190][191]. L'autre particularité de ces thromboses est une atteinte à la fois veineuse mais éga-lement artérielle [193,194].…”

RATE, Clinical Presentations and Maternal Outcome of Cerebral Venous Sinus Thrombosis in Pregnancy at Omdurman Maternity Hospital Khartoum, Sudan

“…2) A syndrome depicting focal deficits such as face or limb weakness, speech deficit, symptomatic seizures or a combination of these. 3) A syndrome simulating encephalopathy with delirium, disturbances of consciousness and possible bilateral or multifocal symptoms and/or signs [1,6]. However, less frequent presentations are related to the cavernous sinus, multiple lower cranial nerve palsies and generalized or localized subarachnoid hemorrhage caused by single or few cortical sulci found on hemispheric convexity [7].…”

“…Poor outcome is linked to age over 37 years, male gender, Glasgow Coma Scale score of less than 9 on admission, disorder of cognitive status, thrombosis of the deep cerebral venous system, intracranial hemorrhage on admission CT or MRI, malignancy and central nervous system infection [3]. For the majority of patients dying in the acute phase, the cause of death was trans-tentorial herniation secondary to large hemorrhagic lesions [6]. Other patients die due to complications such as herniation secondary to diffuse cerebral edema, status epilepticus and other related medical complications including pulmonary embolism [10].…”

“…This is achieved through either hemi-craniotomy or hematoma evacuation, and often results in good functional outcome even in patients with severe disease [5,6,8,10] Acute obstructive hydrocephalus is rare in the context of acute CVST. Shunting procedure alone is not effective in preventing death from brain herniation in acute CVST [5], as despite shunting half of these patients displayed bad outcomes [5].…”