Sagittal venous sinus thrombosis after cesarean section: a case report

Background: Cerebral venous thrombosis (CVT) is uncommon after cesarean section. Although it can be a leading cause of maternal mortality. CVT may occur during pregnancy because of hypercoagulable states such as preeclampsia, thrombophilias, antiphospholipid antibody syndrome and sepsis.Case present...

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Main Authors: Farideh Keypour, Ilana Naghi
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2013-07-01
Series:Tehran University Medical Journal
Subjects:
Online Access:http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-5019&slc_lang=en&sid=1
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author Farideh Keypour
Ilana Naghi
author_facet Farideh Keypour
Ilana Naghi
author_sort Farideh Keypour
collection DOAJ
description Background: Cerebral venous thrombosis (CVT) is uncommon after cesarean section. Although it can be a leading cause of maternal mortality. CVT may occur during pregnancy because of hypercoagulable states such as preeclampsia, thrombophilias, antiphospholipid antibody syndrome and sepsis.Case presentation: A 31 years old woman G2 Ab1 at 37 weeks gestational age with  premature rupture of membrane underwent cesarean section because breech presentation and preeclampsia. Spinal anesthesia was done for emergent cesarean section. On the second day after cesarean section, she developed headache, vomiting, focal neurologic deficits, paresthesia, blurred vision. Brain magnetic resonance imaging (MRI) showed thrombosis in anterior half of superior sagittal sinus. Treatment consisted of anticoagulation.  Conclusion: Thrombophilias, pregnancy-related hypertension and cesarean section are the predisposing factors for thromboembolism. Unfractionated heparin and low molecular weight heparin (LMWs) are effective drugs for thromboprophylaxis. It is vital to prevent venous thrombosis to reduce mortality during both intrapartum and postpartum periods. Consideration of cerebral venous thrombosis in similar cases is recommended.
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spelling doaj.art-4747da743ed44bc19062846813a5e56d2022-12-22T00:59:59ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222013-07-01714265269Sagittal venous sinus thrombosis after cesarean section: a case reportFarideh Keypour 0Ilana Naghi 1 Background: Cerebral venous thrombosis (CVT) is uncommon after cesarean section. Although it can be a leading cause of maternal mortality. CVT may occur during pregnancy because of hypercoagulable states such as preeclampsia, thrombophilias, antiphospholipid antibody syndrome and sepsis.Case presentation: A 31 years old woman G2 Ab1 at 37 weeks gestational age with  premature rupture of membrane underwent cesarean section because breech presentation and preeclampsia. Spinal anesthesia was done for emergent cesarean section. On the second day after cesarean section, she developed headache, vomiting, focal neurologic deficits, paresthesia, blurred vision. Brain magnetic resonance imaging (MRI) showed thrombosis in anterior half of superior sagittal sinus. Treatment consisted of anticoagulation.  Conclusion: Thrombophilias, pregnancy-related hypertension and cesarean section are the predisposing factors for thromboembolism. Unfractionated heparin and low molecular weight heparin (LMWs) are effective drugs for thromboprophylaxis. It is vital to prevent venous thrombosis to reduce mortality during both intrapartum and postpartum periods. Consideration of cerebral venous thrombosis in similar cases is recommended.http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-5019&slc_lang=en&sid=1Anti-coagulant cesarean section intracranial sinus thrombosis thrombophilia
spellingShingle Farideh Keypour
Ilana Naghi
Sagittal venous sinus thrombosis after cesarean section: a case report
Tehran University Medical Journal
Anti-coagulant
cesarean section
intracranial
sinus thrombosis
thrombophilia
title Sagittal venous sinus thrombosis after cesarean section: a case report
title_full Sagittal venous sinus thrombosis after cesarean section: a case report
title_fullStr Sagittal venous sinus thrombosis after cesarean section: a case report
title_full_unstemmed Sagittal venous sinus thrombosis after cesarean section: a case report
title_short Sagittal venous sinus thrombosis after cesarean section: a case report
title_sort sagittal venous sinus thrombosis after cesarean section a case report
topic Anti-coagulant
cesarean section
intracranial
sinus thrombosis
thrombophilia
url http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-5019&slc_lang=en&sid=1
work_keys_str_mv AT faridehkeypour sagittalvenoussinusthrombosisaftercesareansectionacasereport
AT ilananaghi sagittalvenoussinusthrombosisaftercesareansectionacasereport