Cerebral venous thrombosis as a cause of ischemic cerebral infarction in a pregnant woman

Abstract

Cerebral venous sinus thrombosis as a cause of venous cerebral infarction is a rare cerebrovascular disease in our country and in the world. This study presents the case of a 33-year-old white female patient, with 11,3 weeks of pregnancy and a healthy past medical history, who was admitted to the intensive care unit as she had three generalized tonic-clonic convulsions accompanied by pulsating frontal headache, of difficult relief, that radiated to the occipital bone as well as photophobia. The neurological examination showed a horizontal right-beating nystagmus and right brachial monoparesis-2. There was no evidence of papilledema. Imaging studies of gadolinium-based nuclear magnetic resonance and simple CT scan of the skull showed presence of cerebral venous thrombosis and parenchymatous infarctions. Therapy with anticoagulants, anticonvulsants and antimicrobials was performed. At 24 days of admission at the ICU the patient was transferred to the ob-gyn hospital where she kept her pregnancy without complications.

Keywords

• cerebral infarction
• venous thrombosis
• pregnant women