Abstract

POSTPARTUM CEREBRAL VENOUS THROMBOSIS: A CASE REPORT AND REVIEW OF THE LITERATURE

S. Boujida*, O. M’Hamdi, H. Kandoussi, K. Errmili, A. Baydada and A. Kharbach

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Abstract

Cerebral venous thrombosis (CVT) is a cerebrovascular accident affecting the venous network, in particular the dura-merian sinuses. It is a neurological emergency that mainly affects young women[1] given the use of oral contraceptives, hormone replacement therapy, in vitro fertilization and mainly during pregnancy, and postpartum[2,3] Pregnancy considerably increases the occurrence of thrombosis explained by its state of hypercoagulability. This increased thrombotic risk increases further during the postpartum period, which is defined by the 6 weeks following childbirth[4] CVT presents with a very rich and varied picture depending on its topography, but the superior and lateral sinuses are frequently involved. Due to its wide clinical spectrum, its diagnosis becomes more or less difficult and late, it can manifest itself by an isolated intracranial hypertension syndrome (HTIC), by a focal deficit syndrome, or by an encephalopathy[5,6] L Imaging and in particular angio-MRI is the reference examination which allows early diagnosis and also to assess the severity and to decide on the prognosis. In most cases the evolution is favorable with a recovery without sequelae under a well conducted treatment[7,8] Here, we report a rare case of postpartum CVT which was initially confused with a post-dural puncture headache of spinal anesthesia, but was diagnosed in time and successfully managed with a favorable outcome.

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