Clinical and Radiological Profile of Post Partum Cerebral Venous Thrombosis
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 1
Abstract
Introduction: Cerebral venous sinus thrombosis (CVT) has been recognized in the early part of the nineteenth century but still remains a diagnostic and therapeutic challenge for the clinician because of varying and misleading clinical presentation of this condition. Pregnancy and puerperium are most prevalent prothrombotic states leading to cerebral venous thrombosis (CVT). Current research aimed to study the clinical profile of patients presenting with cerebral venous thromobosis during the post partum period and to determine the radiological profile of patients presenting with cerebral venous thromobosis during the post partum period using CT scan. Material and methods: Patientsin the age group of 21-35 years admitted in the Medical and Obstetrics and Gynaecological units of teritiary care centre were included in the study.All These patients were examined for features of cerebral venous thrombosis and relevant investigations was done and radiologically confirmed as cerebral venous thrombosis. Data was collected regarding detailed history, examination and radiological findings of CT scan and analysed using appropriate statistical methods SPSS version 22. Results: Majority of the patients were in the age group of 25-29 Years. Most of the cases (60%)presented in the 2nd Week of the delivery The commonest clinical presentation was Headache and seizures .Other symptoms were loss of consciousness, Hemiplegia, Fever and vomiting. Small ventricles and ischaemic ventricles were the commonest findings in CT scan. Cortical vein thrombosis is the commonest site followed by sagittal sinus . Conclusion: Computed Tomography study should be done immediately after the clinical manifestations so that both the contrast and noncontrast signs can be evaluated completely and hence allow rapid, early and relatively noninvasive diagnosis of this life threatening condition and permits more rapid initiation of therapy.
Authors and Affiliations
Vidya Sagar, Prabakaran .
Keywords
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