EMERGENCY CASEBOOK
Cerebral venous sinus thrombosis presenting in the puerperium
Emergency Department, Leicester Royal Infirmary, Leicester, UK
Correspondence to:
Correspondence to:
Dr J Acheson
Emergency Department, Leicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW, UK; achesonjonny@hotmail.com
Accepted 18 February 2006
Keywords: cerebral venous sinus thrombosis; puerperium; seizure
| The first 150 words of the full text of this article appear below. |
Cerebral venous sinus thrombosis is an uncommon disorder that can present with a wide range of signs and symptoms. We describe a case presenting in the puerperium of a young woman and the investigations undertaken.
A 27 year old woman with a 10 day history of an increasing dull headache presented to the emergency department with three tonic-clonic seizures over a 90 minute period. Each seizure lasted between one and two minutes in duration. She was three weeks post partum following a normal vaginal delivery. The pregnancy was healthy with no complications. There was no history of epilepsy.
On examination her airway was maintained with a nasopharyngeal airway. Air entry was equal bilaterally. Basic observations revealed: heart rate 68 beats/min, blood pressure 108/56 mm Hg, temperature 36.8 °C and blood glucose 4.8 mmol/l. The Glasgow Coma Scale (GCS) score initially was 7/15 (M5, E1, V1) and pupils were equal and
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This article has been cited by other articles:
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(2006). Emergency casebook. Emerg. Med. J.
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Headache (including migraine)
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Coma and raised intracranial pressure
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Pain (neurology)
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Epilepsy and seizures
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Venous thromboembolism
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