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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Format: | Article |
Language: | fas |
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Tehran University of Medical Sciences
2013-07-01
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Series: | Tehran University Medical Journal |
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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. |
first_indexed | 2024-12-11T15:34:29Z |
format | Article |
id | doaj.art-4747da743ed44bc19062846813a5e56d |
institution | Directory Open Access Journal |
issn | 1683-1764 1735-7322 |
language | fas |
last_indexed | 2024-12-11T15:34:29Z |
publishDate | 2013-07-01 |
publisher | Tehran University of Medical Sciences |
record_format | Article |
series | Tehran University Medical Journal |
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 |