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Peripartum cerebral venous thrombosis
P C Sanchetee1, R M Dhamija, A K Roy
1Neurocentre, Command Hospital (EC), Alipore, Calcutta.
The Journal of the Association of Physicians of India
|October 1, 1992
Summary
Peripartum cerebral venous thrombosis (CVT) commonly presents with headache and altered sensorium post-delivery. Computed tomography (CT) scans reveal brain edema and infarctions, with most patients recovering but some succumbing to the illness.
Area of Science:
- Neurology
- Radiology
- Obstetrics
Background:
- Peripartum cerebral venous thrombosis (CVT) is a rare but serious condition affecting women around childbirth.
- Many patients lack adequate antenatal care, potentially delaying diagnosis and treatment.
Purpose of the Study:
- To describe the clinical and computed tomography (CT) features of peripartum CVT.
- To correlate clinical presentation with CT findings in this patient cohort.
Main Methods:
- Retrospective analysis of 25 patients diagnosed with peripartum CVT.
- Review of clinical data including symptoms and outcomes.
- Analysis of computed tomography (CT) brain imaging findings.
Main Results:
- Headache (92%), altered sensorium (80%), and seizures (76%) were common presentations.
- CT revealed diffuse brain edema (52%), cerebral infarctions (48%), and gyral enhancement (40%).
- 12% of patients died during the acute illness phase.
Conclusions:
- Peripartum CVT frequently manifests with neurological deficits and characteristic CT abnormalities.
- Prompt diagnosis and management are crucial for improving outcomes in peripartum CVT.