title: [Venous sinus thrombosis in puerperium].
abstract: 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.
authors.affiliation: Frauenklinik und Neurologische Klinik des Allgemeinen Krankenhauses Celle.
authors.forename: S
authors.initials: S
authors.lastname: Holthausen-Markou
authors.forename: K D
authors.initials: KD
authors.lastname: Günther
authors.forename: W
authors.initials: W
authors.lastname: Heidenreich
mesh_terms: 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*