title: [Clinical and therapeutic aspects of post-partum cerebral thrombophlebites].
abstract: Cerebral thrombophlebites are rare but life-threatening conditions (1/5000 births). Pregnancy and postpartum are predisposing factors: clinical presentation vary and may be misleading, dominated by headaches, convulsions and neurological deficits but showing no specific features. Physical examination often generates informations unavailable and misleading because cerebral thrombophlebites share symptoms with other affections. A definitive diagnosis can be made only neuroradiologically. Brain MRI is currently the reference method; it allows visualization of the venous thrombus and its evolution. The treatment of cerebral thrombophlebites is essentially medical based on anticoagulant drugs. We here report four cases with post partum cerebral thrombophlebites. The aim of our study and review of the literature is to highlight the importance of early diagnosis and adequate therapy.
authors.affiliation: Service d'Anesthésie Réanimation, CHU Ibn El Jazzar, Kairouan, Tunisie.
authors.forename: Barhoumi Mohamed
authors.initials: BM
authors.lastname: Hafed
authors.affiliation: Service de Gynécologie Obstétrique- CHU Ibn El Jazzar, Kairouan, Tunisie.
authors.forename: Ragmoun
authors.initials: R
authors.lastname: Houcem
authors.affiliation: Service de Gynécologie Obstétrique- CHU Ibn El Jazzar, Kairouan, Tunisie.
authors.forename: Saidi
authors.initials: S
authors.lastname: Wassim
authors.affiliation: Service d'Anesthésie Réanimation, CHU Ibn El Jazzar, Kairouan, Tunisie.
authors.forename: Guizani
authors.initials: G
authors.lastname: Taieb
authors.affiliation: Service de Gynécologie Obstétrique- CHU Ibn El Jazzar, Kairouan, Tunisie.
authors.forename: Manssouri
authors.initials: M
authors.lastname: Waddah
authors.affiliation: Clinique de Radiologie de Kairouan, Tunisie.
authors.forename: Liouane
authors.initials: L
authors.lastname: Mohamed
authors.affiliation: Service de Gynécologie Obstétrique- CHU Ibn El Jazzar, Kairouan, Tunisie.
authors.forename: Fatnassi Mohamed
authors.initials: FM
authors.lastname: Ridha
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D005260:Female; D006801:Humans; D020767:Intracranial Thrombosis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D008279:Magnetic Resonance Imaging / Q000379:methods*; D011247:Pregnancy; D011644:Puerperal Disorders / Q000000981:diagnostic imaging* / Q000188:drug therapy; D013924:Thrombophlebitis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D055815:Young Adult
chemical_list: D000925:Anticoagulants
keywords: Cerebral thrombophlebites; brain MRI; convulsion; heparin therapy; postpartum