[Venous sinus thrombosis in puerperium].
BACKGROUND, PATIENT RESPECTIVELY AND METHODS: Based on a case-report we demonstrate which symptoms are indicative of a cerebral sinus-venous thrombosis, how it can develop, and which diagnostic and therapeutic methods are available.


RESULTS
Cerebral sinus-venous thrombosis in puerperium can be hidden behind unspecific symptoms like strong headache, nausea, vomiting. Literature reorts varying mortality between 5 and 30%.


CONCLUSIONS
The obstetrician has to be attentive whenever these symptoms appear for the course and prognosis decisively depend on a quick diagnosis by means of computertomography and angiography.


CONCLUSIONS
Blood coagulation disorders such as lack of Antithrombin III, protein C, or protein S, have been identified as a particularly important origin of the cerebral sinus-venous thrombosis. It is subject to discussion whether the patient should be advised against any further pregnancy. From a medical point of view, a subsequent pregnancy seems acceptable because the risk of another thrombosis, which is a rare event anyway, can be significantly reduced by providing anticoagulation substances.
Holthausen-Markou
S
S
Frauenklinik und Neurologische Klinik des Allgemeinen Krankenhauses Celle.
Günther
K D
KD
Heidenreich
W
W
D000328:Adult; D002533:Cerebral Angiography; D002585:Cesarean Section; D005260:Female; D006801:Humans; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000175:diagnosis; D011247:Pregnancy; D011644:Puerperal Disorders / Q000175:diagnosis*; D012851:Sinus Thrombosis, Intracranial / Q000175:diagnosis*