Peripartum cerebral venous thrombosis.
The clinical and computed tomography (CT) features of 25 patients with peripartum CVT are described. Majority of the patients presented in postpartum period and did not receive proper antenatal care. Headache (92%), altered sensorium (80%, seizures (76%), papilloedema (80%) and hemiplegia (52%) were the common modes of presentation. CT findings included diffuse brain oedema (52%), haemorrhagic or nonhaemorrhagic infarctions on one or both sides of brain (48%), gyral enhancement (40%) and tentorial enhancement (16%). While 15 patients made good recovery, 3 cases (12%) died during acute stage of illness.
Neurocentre, Command Hospital (EC), Alipore, Calcutta.
P C
PC
Sanchetee
R M
RM
Dhamija
A K
AK
Roy
S
S
Venkataraman
D000328:Adult; D001929:Brain Edema / Q000175:diagnosis; D002550:Cerebral Veins / Q000000981:diagnostic imaging / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D006261:Headache / Q000175:diagnosis; D006429:Hemiplegia / Q000175:diagnosis; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D010211:Papilledema / Q000175:diagnosis; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis / Q000000981:diagnostic imaging; D011644:Puerperal Disorders / Q000175:diagnosis* / Q000000981:diagnostic imaging; D012640:Seizures / Q000175:diagnosis; D014057:Tomography, X-Ray Computed