Cerebral venous thrombosis initially considered as a complication of spinal-epidural anaesthesia.
Cerebral venous thrombosis is an unusual condition characterized by headache, nausea, vomiting, focal deficits and epileptic seizures. In this case report we describe a patient who presented with headache and focal motor deficits after an uneventful Caesarean section, performed using combined spinal-epidural anaesthesia. Magnetic resonance imaging was performed because of the pronounced neurological symptoms, and a diagnosis of cerebral venous thrombosis was made. The patient was treated with anticoagulant agents and made a complete recovery. This case emphasizes the importance of considering cerebral venous thrombosis in the differential diagnosis of headache in the post-partum period prior to instituting conventional therapy.
Karci
A
A
Department of Anaesthesiology and Reanimation, Dokuz Eylül University Medical School, Izmir, Turkey. ayse.karci@deu.edu.tr
Boyaci
F
F
Yaka
E
E
Cakmur
R
R
Men
S
S
Elar
Z
Z
D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D000925:Anticoagulants / Q000627:therapeutic use; D000927:Anticonvulsants / Q000627:therapeutic use; D002550:Cerebral Veins; D002585:Cesarean Section / Q000009:adverse effects; D005260:Female; D006261:Headache; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D020767:Intracranial Thrombosis / Q000188:drug therapy* / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D049590:Postpartum Period; D011247:Pregnancy; D014859:Warfarin / Q000008:administration & dosage / Q000627:therapeutic use
D000925:Anticoagulants; D000927:Anticonvulsants; D014859:Warfarin; D006493:Heparin