Cerebral venous sinus thrombosis in pregnancy: a case report Abstract

Kar-Hung SIONG, Oi-Ling CHAN, Chui-Shan YIP, Hin-Yue LAU
Department of Obstetrics and Gynaecology, Tuen Mun Hospital, Hong Kong
Department of Radiology, Tuen Mun Hospital, Hong Kong
We report a case of peripartum cerebral venous sinus thrombosis in a 33-year-old Chinese multiparous woman with 38 weeks of gestation and uneventful antenatal history who presented with a 3-day history of progressively worsening generalised headache. The woman later developed recurrent convulsions. After joint consultation with the neurologist, neurosurgeon, and anaesthetist, emergency Caesarean section under general anaesthesia was performed with perioperative anticonvulsant cover and postoperative anticoagulation therapy. A high index of clinical suspicion and multidisciplinary discussion are important for its timely management.