Description

Thrombosis of a cerebral vein or artery can occur during or after a pregnancy.


The patient may have a history of a hypercoagulable state or complicated pregnancy (abruption, eclampsia, etc).

 

Presentations:

(1) headache

(2) altered sensorium

(3) seizures

(4) hemiplegia

(5) posterior reversible encephalopathy

(6) disorder of speech

 

Clinical findings:

(1) papilledema

 

Brain CT findings:

(1) diffuse brain edema

(2) hemorrhagic and/or nonhemorrhagic infractions

(3) gyral enhancement

(4) tentorial enhancement

(5) vascular thrombosis

 

Differential diagnosis:

(1) post-dural puncture headache


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