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Cerebral sinus thrombosis with intracerebral hemorrhage in pregnancy: a case report

Hung-Shih Lin1, Jui-Feng Lin, Cheng-Kuei Chang

  • 1Division of Neurosurgery, Mackey Memorial Hospital, Taipei, Taiwan.

Acta Neurologica Taiwanica
|November 4, 2008
PubMed

A 29-year-old woman who was pregnant for 12 weeks presented with headache for one week and drowsiness for two days. Computed tomography of the brain revealed multifocal hematomas with mass effect. Decompressive craniectomy was done to relieve the increased intracranial pressure. Magnetic resonance angiography and cerebral angiography were subsequently performed, both demonstrating thrombosis of the left transverse sinus. Treatment of sinus thrombosis generally includes correction of increased intracranial pressure and administration of anticoagulants, such as heparin. However, in this case heparin was contraindicated for the presence of intracranial bleeding, a clinical dilemma that requires careful considerations to balance treatment risks and benefits.

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