Cerebral Venous Sinus Thrombosis with Cerebral Hemorrhage Presenting with Status Epilepticus in Early Pregnancy

Clin Lab. 2018 Apr 1;64(4):611-614. doi: 10.7754/Clin.Lab.2017.171110.

Abstract

Background: CVST is an important cause of stroke during late pregnancy and in the puerperium, but it is seldom encountered during early pregnancy. We report a case of a 34-year-old woman presenting with convulsive status epilepticus in early pregnancy.

Methods: In this case, the cranial computed tomography detected hemorrhage. Magnetic resonance imaging revealed a bilateral hypointense signal involving the frontal lobes and a hyperintense lesion on the right temporal lobe on T1-weighted imaging, and a large bilateral hyperintense area involving the frontal lobes on T2-weighted and fluid-attenuated inversion recovery imaging. Magnetic resonance venography showed occlusion of the right transverse sagittal and sigmoid sinus.

Results: The patient received a diagnosis of cerebral venous sinus thrombosis (CVST) with cerebral hemorrhage. The patient was given anticoagulant therapy for one month and made a good recovery.

Conclusions: This case report should raise awareness of the diagnosis and treatment of CVST with cerebral hemorrhage in early pregnancy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anticoagulants / therapeutic use*
  • Cerebral Hemorrhage / complications
  • Cerebral Hemorrhage / diagnostic imaging
  • Cerebral Hemorrhage / drug therapy*
  • Female
  • Humans
  • Magnetic Resonance Imaging / methods
  • Pregnancy
  • Sinus Thrombosis, Intracranial / complications
  • Sinus Thrombosis, Intracranial / diagnostic imaging
  • Sinus Thrombosis, Intracranial / drug therapy*
  • Status Epilepticus / complications*
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome

Substances

  • Anticoagulants